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DiscussionSurgery? Radiation? Can I have an independent suggestion?
Prostate Cancer | Last Active: 4 hours ago | Replies (90)Comment receiving replies
Replies to "handscasteels Where and how did you get a PSA PET CT Scan with your Gleason Score..."
Apparently one has to "qualify" in Ontario. PSA has to be < 20, Gleason score is irrelevant. This tumor also has cribriform cells as well as perineural invasion. Hence was considered risky, and voilà, I qualified. There are only a few hospitals that offer this scan - if you're close to London, chose that one (London health Sciences).2week wait time vs. 4=6 weeks anywhere else,
In my case, I learned about my Gleason score 7 (3 + 4) after my urologist took 12 (or 14) specimens last Feb 14, at Mackenzie Health Richmond Hill, Ontario. He ordered a "Nuclear Medicine whole body bone scan + SPECT + CT X2 Panel" -- finding "No scintigraphic evidence of metastatic disease; Rule out metastatic disease from prostate." CT scan of my pelvis and abdomen will be on Feb 28. I sure hope for a similar finding of no metastatic disease. My urologist referred me to an oncologist at Sunnybrook Hospital -- a teaching (research) hospital affiliated with the University of Toronto. My initial consultation with Sunnybrook is tentatively set for March 6, but they will find an earlier date if possible and let me know. (As another poster indicated in this discussion thread, if a case is serious it will be seen sooner than usual.) I am 68, thinking of prostatectomy, but after reading the above posts, I am reconsidering if I should instead opt for SBRT. I will discuss with the oncologist.