Philip J. Koo, MD, presented “Challenging Case Discussion” during the 33rd International Prostate Cancer Update on January 24, 2023, in Vail, Colorado.

How to cite: Koo, Philip J. “Challenging Case Discussion.” January 2023, 2023. Accessed May 2024. https://grandroundsinurology.com/challenging-case-discussion-panel/

Challenging Case Discussion – Summary

Philip J. Koo, MD, discusses the intricate aspects of prostate cancer diagnosis and treatment. Dr. Koo delves into various challenging cases, shedding light on the significance of personalized approaches tailored to individual patients. The presentation focuses on the utilization of PSMA PET, an advanced imaging technique, which showcases promising performance in detecting localized disease. Drawing from the study conducted by Jeremie Calais, the audience learns about the notable comparison between fluciclovine and PSMA, revealing higher detection rates with the latter.

Furthermore, the potential application of PSMA PET in guiding biopsies is explored, demonstrating its potential to enhance diagnostic accuracy. As the presentation progresses, Dr. Koo provides a compelling case study involving a high-risk prostate cancer patient who presents with back pain and neck swelling. Dr. Koo emphasizes the critical role of biopsy in ensuring tissue concordance, thereby enabling accurate treatment decisions. Throughout the presentation, the complexities of low PSA levels become apparent, underlining the need for comprehensive evaluation in prostate cancer cases.

 

About The 33rd Annual International Prostate Cancer Update:
The International Prostate Cancer Update (IPCU), founded in 1990, is a multi-day CME conference focused on prostate cancer treatment updates with expert, international faculty. It is led by expert physicians and is designed for urologists, medical oncologists, radiation oncologists, and other healthcare professionals involved in the diagnosis and treatment of prostate cancer. The 33rd iteration of the meeting occurred January 22-25, 2023 in Vail, Colorado. To view more educational presentations from IPCU 33, visit our collection page.