Prostate cancer has spread to the C5 vertebrae

Was the diagnosis 3 years ago not considered serious enough to warrant regular checks and even treatment? It's odd to be diagnosed 3 years ago and now the PET shows no cells, how were you diagnosed before?

I needed surgery for the metastasis on my spine *because* it was paralysing me. I got 10 hours of emergency debulking surgery first, then 20 gy of post-op SBRT radiation a month later. It still took over a year before I could walk with out a walker or cane, and I'll never get all my sensation and mobility back.

Long story short: if safe and possible, fry that sucker with radiation now, before it grows and compresses your spinal cord. Mine went from a slight pain in my mid spine to complete paraplegia in just over 4 weeks.

Your message is confusing. The C5 vertebrae is in your neck. I’ve had C1 through C six operated on, Not cancer related just open them up and stop paralysis

They don’t usually operate on prostate metastasis they use radiation to kill them. Did they not want to do radiation either. I’ve had a metastasis on my spine radiated. I know many other people that have had the same treatment, but I don’t recall any anyone mentioning it in the C1 through C5 area.

Have they mentioned putting you on ADT to try to shrink the metastasis?

My friend in ND had it on his spine, so he s on year number 5 with Lupron quarterly.

Alliblue, you could be given Zometa or Prolia to slow progression and protect the bone or chemotherapeutic agents.
Was the C-5 lesion detected with PSMA PET.
Metastasis from prostate cancer to the cervical spine is rare. And as a caution, PSMA PET can produce false positives in solid tissue but also in the spine where it can be mistaken "Fractures, degenerative changes, geodes, Schmorl's nodes, fibrous cortical defects, fibrous dysplasia, Paget's disease, vertebral hemangiomas, and bursitis are examples of musculoskeletal disorders that might result in false positive." PSMA PET/CT imaging results."
https://www.frontiersin.org/journals/nuclear-medicine/articles/10.3389/fnume.2024.1451848/full

My husband has had many metastases on his spine since 2011, which is a common location for prostate metastases. All of his have been located on the thoracic and lumbar spine, designated with T and L. They were generally treated with spot radiation until a large number of them appeared at once, which is when he had systemic treatment with docetaxel chemotherapy.

Yes. Detected in a PET. Diagnosed with prostate cancer 3 years ago.
Results state "lytic lesion C5 adrenal metastasis." "Lytic metastasis in C5 with prominent metabolic activity"
"No residual tumor in prostate bed. No seminal vesicle involvement. No nodal disease. No other bony disease." Doctor appointment and explained my results. Cancer spread to the bone.

Thank you for the information.

Biopsy. Done chemo, oral meds and radiation. Checked often and things were going good. PSA went way up and a PET was done. Located in the PET..

Thank you...I am asking for my partner...I don't know all the medical language...just found out this morning about the C5 issue..probably should have made that clear