Scans
My biopsy revealed a Gleason 9 and 12 of 16 cores with cancer and cribriform is evident. Mostly 4 + 3 with a small percentage of 4 + 5. A previous MRI said no evidence of cancer in the bones near the prostate or swelling of lymph nodes. The center called me and said they want to do a bone scan and a CT scan before advising on treatment options. There was no mention of a PSMA scan and when I brought it up they didn't seem to be focused on it at all.
Any thoughts?
Interested in more discussions like this? Go to the Prostate Cancer Support Group.
I paid for mine then fought the insurance company, I'm sure I posted on here somewhere. Eventually they paid for it.
If you do pay for it, make sure you negotiate with the facility, all their prices are negotiable, particularly if you're able to say "I'll pay you in full at time of service." I got mine down by about 1/3 or more.
I did that.
Read the principles of imaging in the first one https://www.nccn.org/professionals/physician_gls/pdf/prostate.pdf
This one is more patient specific - https://www.nccn.org/patientresources/patient-resources/guidelines-for-patients/guidelines-for-patients-details?patientGuidelineId=49
Kevin
NCCN Guidelines - 2025 (NCCN-Guidelines-2025-1.pdf)