Question

100 Case Studies in Pathophysiology: Case Study 72: Prostate Cancer

5. A thorough clinical workup with biology shows that J.A. has a well-differentiated prostatic adenocarcinoma. What do the following lab data suggest? • Alkaline phosphatase: 70 IU/L • BUN: 18 mg/dL • Creatinine: 0.7 mg/dL • AST: 15 IU/L • Total bilirubin: 0.9 mg/dL • Negative radionuclide bone scan

Answer 1

Alkaline phosphatase is 70 IU/L for the patient. The normal range is between 20 to 140 IU/L. This indicates normal values.

The BUN level is 18 mg/ dl for the patient and the normal range is from 7 to 20 mg/dl. It indicates the normal value.

Creatinine level is 0.7 mg/dl and the normal range is 0.6 to 1.2 mg/dl. This indicates that the creatinine level is normal.

AST level is 15 IU/L for the patient and the normal range from 5 to 40 IU/L. This indicates that the level os normal.

The total bilirubin level for the patient is 0.9 mg/dl which is normal as it comes under normal range 0.1 to 1.2 mg/dl.

The radionuclide bone scan is done to check any tumor or any infection of the bone. Negative indicates on tumor or infection in the bone.

The laboratory results are all normal and suggests that prostate cancer is not yet metastasis or spread to other body organs. So it is at an early stage.