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Is a PSMA-PET scan of value if you have already started ADT treatment?
Prostate Cancer | Last Active: Oct 10 6:20pm | Replies (15)Comment receiving replies
Many doctors are giving PSMA pet tests even though the PSA has dropped a lot. If there is a metastasis, it will show up even though the PSA is low. If it is below .2 a small metastasis may not show up in the test, but major ones will show up and that’s what you’re looking for.
They should’ve done a PSMA pet test before the RP and also before putting them on ADT. Some urologists do not understand that. That’s why you want an oncologist handling the case.
After surgery, the PSA should drop to almost undetectable. The fact that it is so high means that there must be something else producing PSA so a test now would make sense, definitely should not wait with it rising so much.
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A PSMA-PET scan is not the standard of care in Canada. I believe it was the oncologist that placed him on ADT but that raises the question why was a PSMA-Pet scan not recommended before starting ADT. Does the taking of hormone therapy negate the ability of the PET scan to detect the cancer?