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Case: 01 - Sacral Bone

Workshop Schedule:
Polish Society – SBRT Onco-Spine Contouring Workshop May 8, 2026

Faculty:

 Krzysztof Bułacz 

Case Description:
Primary diagnosis: Prostate adenocarcinoma
•    Histopathology:  Adenocarcinoma, Gleason score 8 (4+4),Cancer present in both lobes, Perineural invasion present
•    Comorbidities: Nephrolithiasis
•    Past surgeries: Right inguinal hernia repair
•    Performance status: PS 1
•    Symptoms: Severe bone pain in the sacral region
Oncologic Treatment
•    15 October 2025 – First injection of Diphereline (LHRH analogue)
Laboratory Findings
•    PSA total (30.07.2025): 9.070 ng/ml
•    PSA total (06.10.2025): 5.880 ng/ml
•    PSA free: 0.461 ng/ml
•    PSA free/total ratio: 0.08 (low; <0.25)

Contouring homework: 
GTV1 on Slices 64, 67, 70
CTV1 on Slices 64, 67, 70
PTV1 on Slices 64, 67, 70

Additional Resource Files:

Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 04/09/26 12:42 EduCase
Viewed: 74 times
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Total Slices: 144
Dose: No
Doctor's Name: Dr. Grzegorz Dworszczak
Server locations: US, Frankfurt, Singapore