The American Oncology Institute (AOI) at Citizens Specialty Hospital in Hyderabad is pleased to announce the successful treatment of a 72-year-old male patient with advanced prostate cancer. The patient, who initially experienced acute urinary retention in 2014, consulted a urologist and was diagnosed with prostate carcinoma after a biopsy. He underwent bilateral orchidectomy and received multiple lines of chemotherapy at different hospitals, experiencing several relapses.
In 2022, the patient returned to AOI with a recurrence of the disease but surprisingly low PSA levels. The doctors at AOI decided to perform a repeat biopsy, which revealed a transitional cell variant of prostate carcinoma. Considering the patient’s age, frailty, and extensive prior treatments, the medical team conducted next-generation sequencing on the tumor tissue, which showed MSI high and TMB high status, warranting immunotherapy.
Dr. K.V. Krishnamani, Medical Oncologist at AOI, explained the multidisciplinary approach: "The advanced nature of the patient's cancer required a combination of molecular testing and immunotherapy. This comprehensive strategy not only addressed the cancer but also significantly improved the patient's quality of life. His response to the treatment has been very encouraging, showcasing AOI's advanced care capabilities."
The patient received immunotherapy every three weeks, and now, two years from the start of this treatment, his disease is in complete remission. He is clinically well, ambulatory, and in much better health than he was in 2022. This case highlights the necessity of specialized molecular testing, the importance of repeat biopsies in recurrence cases, and the excellent results achievable with immunotherapy in such patients.
Harish Trivedi, CEO of CTSI-South Asia, emphasized the importance of leveraging cutting-edge diagnostics and personalized medicine in cancer treatment. Dr. Prabhakar P, Regional COO of AOI, highlighted AOI's commitment to integrating advanced technology with expert clinical knowledge to provide personalized treatment plans.
Dr. Krishnamani also stressed the importance of regular screenings for early detection of prostate cancer, which significantly improves treatment outcomes. He encourages all men over 50 and those with a family history of the disease to undergo routine check-ups and screenings.