رجل عمره ٦٨ سنة، أخوه شُخص بسرطان البروستاتا، جاء لفحص روتيني. عنده تبول ليلي مرتين، وبدون نقص وزن أو ألم عظام. تحليل PSA مرتفع، والفحص الشرجي يظهر عقدة صلبة في البروستاتا. ما الخطوة المتوقعة؟

A 68-year-old man whose brother has prostate cancer attends a routine check. He has nocturia twice, with no weight loss or bone pain. PSA is raised and rectal examination shows a hard prostatic nodule. What is the expected next step?

1. Start radiotherapy immediately without a confirmed diagnosis
2. Antibiotics for prostatitis and repeat the test in a year
3. Urology referral for MRI and biopsy as assessed
4. Reassure him it is benign enlargement needing no follow-up

Answer: C) Urology referral for MRI and biopsy as assessed. Raised PSA with a hard nodule and family history raises suspicion of cancer. Urology referral for MRI and biopsy confirms the diagnosis before treatment.