I had two PSMA pet scans within 12 months. My first PSA was 1.0 and my urologist sent me for a psma pet scan . The only place that showed any activity was my sternum ,lit up like a Christmas tree. After I did my own research and a biopsy, which showed negative. Very rare for prostate cancer to metastasize to the sternum not likely. Anyway over the next 12 months or so my PSA continued to rise. my urologist said it might’ve been too low to pick up hidden areas. Almost a year later, my PSA is now at 2.8. We did did another PSMA test. The sternum still lit up(stable)in addition to one on the T7 region of my spine, mild suv, two lymph nodes one mild SUV and not sure because it doesn’t indicate just says has uptake. We didn’t do any biopsies. I had two opinions from radiologists and both agree to do SBRT. It’s the best way to go. And zap all four places. Although I believe the two spots in the bones are benign or negative. However, as they said it better to be safe than sorry. But I believe their decision and their thoughts to be what they believe based on my past history, and since this is probably a reoccurrence we didn’t do a biopsy. My oncologist wanted to put me on some type of ADT or a variation of. At the moment I declined. I read too many horror stories. I opted for SBRT at least for now. With only a few spots, it’s very doable and with the latest technology
PSMA pet scans are very sensitive and accurate when PSA is a little higher. Doctor Kwons sweet spot is between2 and 3for PSA. in the past any cancer found outside the prostate bed and prostate is considered metastasized and really, not curable however, this will change the treatment options and offer a cure for some. For others, this will buy more time till something greater and better comes along, hopefully, may God bless us all.