prostate bone metastasis

Complete English Translation · Source 1

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Puji Traditional Chinese Medicine Research Institute

Chengdu Puji

Traditional Chinese Medicine Case of Tumor Treatment and Recovery

kindness and skillful treatment

V differentiating treatment according to symptoms V treating both root and symptoms living with tumor

overview of condition:

disease type: prostate bone metastasis age: 63 gender: male region: Shandong

patient diagnosed with prostate cancer, multiple bone metastases, right upper lobe ground-glass nodule 1.0*0.7cm at the time of

received 20 sessions of radiotherapy at a local hospital,

patient's expectations, currently seeking further treatment at our hospital's Traditional Chinese Medicine department. At initial consultation, the main symptoms included:

3 courses of chemotherapy, bone protection injection (28 days/course), no significant improvement achieved as per patient's requirements, currently seeking further treatment at our hospital's Traditional Chinese Medicine department. At initial consultation, the main symptoms included:

poor appetite, upper abdominal discomfort, dry mouth and bitter taste,

pain, pain worsens after exposure to cold, oral analgesics used, constipation, dry stools, sheep-dung-like stools, foamy urine.

general fatigue, weakness and numbness in both lower extremities' lower legs accompanied by

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detailed report

-～91

1 4G ④0

Jin's Diagnostic Report

name:

[REDACTED]

report date:

age:

examination items: chest CT non-contrast + contrast enhancement

Third Affiliated Hospital of Shandong First Medical University

examination date•

2024-09-24

2024-09-24

findings

increased bronchial and vascular bundles in both lungs

stranding high-density shadows and several small nodular foci

scattered small amounts in both lung fields

report results

present as ground-glass density,

Right upper lobe of lung, segmental main bronchus is patent; mediastinum is central, with no

larger lesion size about 1.0cm x 0.7cm,

located at

1 combined with history, multiple vertebral bodies and their attachments metastasis, and L5 compression

Duo Ji Traditional Chinese Medicine Research Wrist

no obvious enlarged lymph node shadows; bilateral pleural membranes slightly thickened, no fluid in the pleural cavity

fracture. 2. Cervical, thoracic, and lumbar vertebral degenerative changes; L1-2, 4-5 intervertebral

liver morphology, size slightly acceptable, no abnormal enhancing density within the liver parenchyma

fluid density shadow observed. Thyroid density is uneven within the scanning field.

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disc slightly protrudes.

shadow. Gallbladder is not enlarged, wall no obvious thickening, no abnormality in the gallbladder cavity

state, size no abnormalities, homogeneous in consistency. Bilateral renal morphology, size

density shadow; no obvious dilation of intra- and extra-hepatic biliary tracts. Spleen and pancreas morphology

vertebral diffuse vertebral bodies and partial attachments show multiple nodular, patchy abnormal

Cervical, thoracic, and lumbar vertebral physiological curves are present, cervical, thoracic, lumbar, sacral

Slightly lower density, diameter about 1.0cm. Bilateral adrenal gland morphology and size

slightly acceptable, within the parenchyma there is a round non-enhancing low-density shadow, left kidney shows

signal, T1WI, T2WI signal decreased, fat-suppressed sequence shows high signal

obvious abnormal signal foci.

number, among which L5 vertebral body compression becomes flattened. Remaining partial vertebral body edges bone

and density no obvious abnormalities are seen. No obvious enlarged lymph nodes in the retroperitoneum

tip becomes sharp; L1-2, 4-5 intervertebral discs slightly posteriorly protrude. Spinal cord no obvious

vertebral bodies and their attachments, pelvis bone density is uneven, multiple patchy

shadow. No fluid in the peritoneal cavity. Some ribs and thoracolumbar

| examination details

Continuous, with surrounding bone callus formation.

Low-density and high-density shadows. Local bone quality deficiency in the left 2nd/10th ribs

Chengdu Puji Traditional Chinese Medicine Hospital

View details

1. Right upper lobe ground-glass nodule_

Impression

③ This report is for reference only and should be taken as the official paper report from the hospital.

No evidence of involvement.

Change compared to previous (2024-06-12)

2. Multiple small pulmonary nodules and nodular-like lesions,

Please combine with clinical findings.

Partially newly appeared, considered inflammatory

After traditional Chinese medicine treatment:

The lesion has disappeared! In addition, Mr. Sun's mental status and overall condition are all good.

After treatment by the chief physician of our hospital's oncology department, the follow-up report shows tumor shrinkage and disappearance of the pulmonary nodule area

4919.1260

Diagnosis report

Diagnosis report

TEd:

Shandong First Medical University Third Affiliated Hospital

Fluid accumulation observed. Within the scanning field, left scapula, some ribs, and thoracolumbar vertebrae

Shandong First Medical University Third Affiliated Hospital

The femoral bone shows multiple patchy, sheet-like long T1 and slightly short T2 signals, FS-

0.6cm, mild enhancement. Sacrum, bilateral iliac bones, ischium, pubis, and both

Inconsistent bone density in vertebrae and attachments, pelvis; multiple patchy low-density areas observed

Shrunk compared to previous.

T2WI shows high signal with restricted diffusion, uneven enhancement,

Part of the lesions

Low-density and high-density shadows. Local bone quality deficiency in the left 2nd and 10th ribs

continues, marginal edges of vertebrae show varying degrees of osteophyte formation, L2, 5, S1 local

lumbar spine physiological curvature is acceptable, sequence is regular, posterior edges of vertebrae are poorly connected

cerebral substance size and shape are normal, no obvious abnormal density foci, cerebral sulci

continues, surrounding bone formation is seen.

region flattened, especially L5, shown lumbar and sacral vertebrae and their attachments show abnormal signals

no widening or deepening of the fissures, no deformation or dilation of ventricles, midline

number, T1WI shows low signal, T2W shows high and low signals, FS-T2WI

structure is not displaced. Several low-density foci are seen in the skull.

number decreased, lumbar spinal cord morphology and size are normal, no obvious abnormal signals are seen within

appears as high signal, heterogeneous enhancement after contrast, part of intervertebral disc T2WI signals

impression

number. Subcutaneous and erector spinae muscles of the lumbar and back region show strip-like FS-T2W high signals

1. Right upper lobe ground-glass nodule, change compared to previous (2024-08-21)

number.

not prominent.

2. Microscopic nodular lesions in both lungs,

miliary nodule lesions

some disappear,

follow-up.

impression

3. Slight fibrotic foci in both lungs. 4. Uneven density in the thyroid gland, recommend combining with clinical

1. Prostate cancer involving seminal vesicles and enlarged pelvic lymph nodes after treatment

bed.

2. Multiple bone metastases, some of which have shrunk compared to before.

lesions are smaller than before (2024-08-22);

further examination.

5. Right renal cyst. Left kidney shows slightly low density, slightly fuller than before, further examination is recommended if necessary

3. Multiple abnormal signals in lumbar and sacral vertebrae and their attachments, consistent with multiple bone metastases and

6. Multiple bone destructions, combined with history, consider metastasis, recommend combining with

4. Consider superficial fasciitis of the lumbar and back region.

L2, 5, S1 localized compressive changes;

7. Consider old fracture of left 2nd and 10th ribs.

ECT.

8. Head and neck CT scan shows no obvious abnormalities. MRI examination is recommended if necessary.

Reporting physician: Liang Huizi

Review time: 2025-06-05 17:33:56

Reviewing physician: Liu Yuli

Reporting physician: Liang Huizi

Reviewing physician: Zhang Qing

Time of report: 2025-06-05 11:39:09

This report is for reference only, final report based on printed paper report in the hospital

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31[unclear in source]13:393[unclear in source]3 day

report details

10 ss]

diffusion not obviously restricted, sagittal view shows prostate slightly elevated locally upward

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protrudes into bladder, forms a pressure mark at the bladder neck, lesion adjacent to left seminal vesicle

report results

T2W|signal decreased, post-contrast shows heterogeneous enhancement, bladder filling

adenoma boundary unclear, left bladder seminal vesicle angle disappeared, seminal vesicle locally

1 examination conclusion

normal, no abnormal signal inside, small lymph nodes seen in pelvis and anterior to sacrum

after.

1. Prostate cancer involving seminal vesicles and enlarged pelvic lymph nodes; treatment

end, the largest diameter is about 0.6cm, with mild enhancement. Both bones, bilateral iliac

metastasis, partially reduced compared to previous. 3. Multiple abnormal lesions in lumbar-sacral vertebrae and attachments

lesion reduced compared to previous (2024-08-22): 2. Multiple bone

long T1 slightly short T2 signal, FS-T2W/high signal, diffusion restricted

bone, ischial, pubic bones and both femora show multiple patchy, patchy

Signal consistent with multiple osseous metastases and localized compressive changes at 12, 5, and S1

Limited, uneven enhancement, partial lesions showed shrinkage compared to previous examination. Lumbar vertebral physiological

| examination details

change; 4, consider superficial fasciitis of the lower back.

Periosteal edges show varying degrees of osteophyte formation, L2, 5, and S1 show local changes

Curvature is acceptable, sequences are intact, posterior margins of vertebral bodies show poor continuity, and all vertebrae

Flat, predominantly involving L5, showing abnormal signals in lumbar and sacral vertebral bodies and their attachments

Periphery shows nodular, lobulated appearance, irregular mass detected, maximum cross-sectional area approximately

Compared to 2024.08.22: enlarged prostate volume, irregular morphology,

T1WI showed low signal, T2WI showed high and low signals, FS-T2WI showed

High signal, uneven enhancement on contrast, partial intervertebral disc T2WI signal

3.1cm×2.2cm, with uneven internal signal, T1WI showed isointense to slightly

Decreased

female, age 10, 3rd grade, Weiyee General

Package made at the mouth

T2WI slightly abnormal signal

Can be seen as patchy low signal

Complete English Translation · Companion Record 1

#[Prostate cancer patient's recuperation record]

Patient: 63-year-old man from Shandong with prostate cancer and bone metastasis, Mr. Sun

Multiple bone metastasis symptoms, received radiotherapy and chemotherapy, but poor results. Transferred to our hospital for traditional Chinese medicine treatment afterwards

Significant improvement in symptoms! Follow-up examination shows tumor shrinkage

#Pu Ji Traditional Chinese Medicine #Prostate cancer