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PSMA scan conflicting results

Prostate Cancer | Last Active: Sep 20, 2025 | Replies (32)

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Thanks for the reply, but according to the Orthopedic Oncologist the left first rib in my case at least was too risky to biopsy. My Radiologist also said 50 50 if they would get a viable sample. The MRI follow on to the PSMA pet scan was inconclusive due to motion from breathing. My Radiologist is sticking to cancer diagnosis even though my Uptake is moderate at 6.3. A second opinion agreed with the Radiologist. They seem to be basing their assessment only on SUV (brightness on scan), it's sclerotic, and the fact I have BCR. I've read benign lesions can have higher SUV's than mine and also be sclerotic. Lesion is described as well defined. I'm leaning towards SBRT even though that carries some side effect risks. Very frustrating.

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Replies to "Thanks for the reply, but according to the Orthopedic Oncologist the left first rib in my..."

Thanks for your reply. I was told the same thing on the biopsy on the sternum it was 50-50. I did a second time and they got a good biopsy and showed negative. However, I did a second psma pet scan my PSA went to 2.8. Results show I have two lymph nodes. They don’t give me an SUV number. They just say they’re mild and one in the T7 region of my back again I think it’ll be a false positive in my back. My oncologist is recommending short term ADT therapy, but I’m not sure yet. I’m looking into proton therapy (IMPT)which appeals to me more. If I can get it done it’s radiation if you haven’t checked it out.but it’s much more precise and only hits the target. Very little side effects and effective. If you’re considering radiation, check it out it’s very effective. Good luck