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← Return to PSA detectable 18 mos after prostatectomy
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PSA detectable 18 mos after prostatectomy
Prostate Cancer | Last Active: Aug 10 4:52pm | Replies (85)Comment receiving replies
Well, more bad news for me as my PSMA pet scan results came in. My bcr .24 3 years after prostatectomy resulted in this. Images of the prostate demonstrate a focus of increased uptake to the right midline in the inferior aspect of the prostate with a maximum SUV of 4.1 suspicious for malignant disease. Musculoskeletal: There is a prominent focus of increased uptake involving the left first rib with a maximum SUV of 6.3 for which metastatic disease cannot be excluded. This is associated with sclerotic changes, compatible with metastatic disease. My Urologist/surgeon wants to discuss rib finding with my Oncologist and pet scan reading physician to determine if rib finding may be a false positive!! I have meeting with Oncologist tomorrow.
Replies to "Well, more bad news for me as my PSMA pet scan results came in. My bcr..."
I am so sorry that you have to deal with it again : (((. I am just little bit confused - did you have your gland removed initially ? If yes, how is there an " image of the prostate " (???) that demonstrates a focus of increased uptake of the ...(etc.) ? My husband is having RP soon so I am trying to understand your case. Thanks in advance for explanation.
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Ok, that sucks…but you had a sense this was coming I think? But even if the debate about the rib lesion is inconclusive, why not zap it (SBRT) and then do IMRT to the bed and nodes?
I know I make it sound like no big deal, but it’s really not, OK? The bigger debate is the ADT you’ll probably need; is Orgovyx enough or do you need to be more aggressive and do doublet therapy?
The fact that your original surgery went so well and your cancer was not considered all that aggressive (positive margin notwithstanding), a metastasis to the rib could indicate a more aggressive type of PCa. Did you get a Decipher test or any kind of genetic testing? I didn’t have either but today I would insist on both.
Good luck with your consult and hammer them with questions. Remember, it’s their JOB to answer them!!
Phil