PSMA PET Scans...some interesting info

@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

@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?

@brianjarvis Thank you very much.

@dpayton I probably would’ve had weight gain while I was on Eligard. But, my medical oncologist advised me before the first injection to start a robust resistance-training and cardio program.
So, I lifted weights 6 days/week, and also would either run 5Ks or swim laps for 35-45 minutes on alternating days. Actually lost 40 lbs (& 3 belt sizes). Hot flashes became mild warm flashes……

@dpayton Thankyou for those kind words dpatyon. I very much appreciate each word that you sent me. I think my numbers are OK and I think the doctors are not really too concerned about me. But that doesn't lessen my anxiety given my life experience and my father. Yes, I am thankful for all the research that has been done for the prostate cancer brotherhood. Thank you Sir for your kind words again and God bless you and your family. James from Vancouver Island .

@brianjarvis Hey Brian! Thanks for the response. I wish I'd been told that! haha It was recommended that I do core work. Nothing about cardio. About 3 months in on my first shot, I went to the track to run. Now, mind you before all this started I loved to jog. I got a 1/2 mile in and it felt like I ran a 10k. Is there some in Eligard that just kills the ability to run?

Glad to hear about your story. That's awesome!!

Doug

@muhammadali1951 You'll almost cetainly go on hormone therapy. Your first big decision will be radiation vs surgery. If the imaging shows the cancer has spread, it will probably be radiation; if there's no detectable spread, you might have surgery as an option, with the caveat that you'll still need radiation later if it turns out some of the cancer had escaped the prostate but wasn't detectable yet. Surgery and radiation have comparable overall-survival stats.

No point worrying past that yet. Just rest assured that there are many good treatment options available, no matter what your situation ends up being.