27/04/2020
METASTATIC PROSTATE CANCER WITH PARAPLEGIA(evidence based homeopathic treatment)
Dr Anwar Amir
“ABOVE THE SOUND OF COVID TRUMPETS RISES THE SILENT ROAR OF A CANCER SUCCESS BY HOMEOPATHY “
Mr-Q.J.A,a 69 year old gentlemen was brought to the clinic on a wheelchair with
METASTATIC CA PROSTATE confirmed in -NOV-2018 ,was first seen at the clinic on 19 feb 2019.
GLEASONS 7 BOTH LOBES-
TRUS BX- GR 2 HARD NODULE IN L LOBE
PSA-9.78
H/O SUDDEN PARAPLEGIA SEP 2018 DIAG WITH D6 VERTEBRAL METS WITH NERVE COMPRESSION-- DECOMPRESSION LAMINECTOMY DONE-
POWER OF LL PARTIALLY RECOVERED AFTER SX-BUT WEAKNESS OF LL PERSISTS-PT. SINCE THEN-ON WHEEL CHAIR- -
MRI 7 NOV-18--D6 LESION -SPINE METS-
HPE REPORTS- 13-7-2018--ADENO CARCINOMA
IMPRESSION- METASTATIC CA PROSTATE- T3BN1M1
PET CT-20 NOV-18--
PROSTATE LESION-
MULTIPLE LESIONS IN D7-11,L1,SACRUM -ACETABULUM,,L P***S-
PAIN THORACIC SPINE BETWEEN SCAPULA -SINCE JUNE 18-
HTN/DM/
SUDDEN SEVERE PAIN IN NOV-RESTLESS/FALLING-
OVERNIGHT PARAPLEGIA-
NOV 2018-NO SENSN -NO MOVEMENTS NO URINE-NO STOOL -SX-DECOMPRESSION-PAIN >SENSN >
CANT WALK BY HIMSELF/NEEDS SUPPORT OTHERWISE FALLING-
STOOLS CONSTPN- BEDRIDDEN AFTER SX- 3 1/2 MTHS
AP-- RED-
PREVIOUS HISTORY
Patient has not been well on and off since 2016-Investigated at various places in bhiwandi ,Thane and Kalyan,diagnosed as metastatic carcinoma of unknown origin. Left supraclavicular and multiple abdominal Lymph nodes.Left kidney and adrenal lesion.Biopsy at Bhiwandi revealed metastatic adeno carcinoma in December 2016.No active treatment taken.
Reported to K.E.M. hospital in December 2018 ,with h/o
Backache-6 mths,
LUTS[Lower urinary tract symptoms]-6 mths
h/o PARAPLEGIA –since sep 2018-underwent D5-6 laminectomy and decompression surgery with excision of soft tissue-
HPR-s/o Metastatic Adenocarcinoma-
MRI –nov 2018-soft tissue at D6 vertebrae causing cord compression-
PET SCAN –Nov 2018- well defined heterogenous density minimally enhancing preaortic,para-aortic ,artocaval,precaval,bil common iliac,and right external iliac lymph node approx. measuring 3.2x2.9x4.5 cm with suv max 4.63-
Prostate-diffuse infiltrative lesion size 3.8x5.0x6.0 cm with suv max 5.20.
Status post wide excision of vertebral elements-multiple well defined patchy sclerotic lesion involving D7,8,9,10,11,L1 vertebrae ,multiple sites in sacrum,acetabulum,left p***s showing low grade FDG uptake.
OPINION-primary adenocarcinoma prostate with metastasis-
On workup at KEM , confirmed to have Metastatic Prostate cancer –T3bN1M1 with cord compression
Gleasons score 7[4+3] both lobes-
TRUS guided prostate biopsy ,right and left-features of prostatic adeno carcinoma -
Impressions- prostatic Adeno carcinoma
Gleasons score 7[4+3]
Grade Group 3
50 to 60 % of the biopsy volume shows tumor
B/L orchidectomy done 2019 8 jan under LA by single midline scrotal incision-
After treatment with Homeopathy since February 2019,reports-
PET SCAN-20 Feb 2020-
Prostate appears normal in size with no abnormal FDG uptake-
No evidence of previous abdominal or /retroperitoneal adenopathy ar ascites-
No abnormal FDG uptake in pelvic lymph nodes
Healed dorsal ,lumbar vertebrae, sacrum,acetabulum,left p***s and other bony skeletal metastatic lesions,No abnormal FDG uptake.
CEA-3.39
CA-19.9-10.88
PSA-3.12
FREE PSA-0.26
Note-
(Homeopathic details witheld for later discussion as objective is to motivate young doctors to take up classical homeopathy for cancer Treatment which offers unfathomed opportunities-Discussion,comments,clarifications,doubts,criticism,etc .welcome-All before and after treatment available documentary evidences attached-Skeptics welcome)