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PSMA PET Scans...some interesting info

Prostate Cancer | Last Active: Oct 28 4:54am | Replies (67)

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@brianjarvis
PSA: 12.800
Fee PSA: 1.160
% of free PSA: 9.06
Free PSA total PSA ratio: 0.090

Prostate Biopsy:
Acinar adenocarcinoma prostate
Gleason score: 4+4=8, Grade group: 4
Cribriform pattern present
The tumour involves the right lobe
Perineural invasion identified

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Replies to "@brianjarvis PSA: 12.800 Fee PSA: 1.160 % of free PSA: 9.06 Free PSA total PSA ratio:..."

@muhammadali1951 The PSMA PET scan will provide more numbers (called SUVmax scores) which will give more insight into the aggressiveness of the disease,

For now - your prostate cancer (Grade 4 out of 5) - the NCCN guidelines recommend either RP or RT+ADT. (See attached chart.)
The cribriform pattern is an indicator of possibly more advanced disease.
You’ll need to discuss with your doctor whether RT+ADT or RP will work; and if you do RP, will you have to do RT+ADT anyway?