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← Return to Radiologist this week.. 1 Lesion found in pelvis. Advice?
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Radiologist this week.. 1 Lesion found in pelvis. Advice?
Prostate Cancer | Last Active: 6 days ago | Replies (11)Comment receiving replies
Looking at this in order:
> Prior to your RALP, did your PSMA PET scan show any metastasis, or was there any ECE, intraductal carcinoma or Cribriform pattern of the prostate noted? (If so, this may help better understand the severity of your original diagnosis and determine where to go from here.)
> Did “watch mode” mean “watchful waiting” or “active surveillance”? How severe were the other numbers you were tracking (besides PSA)?
> How many oligometastatic lesions are there?
> Is the metastasis only to bone or to both bone and soft tissues/organs?
> What does your current PSMA PET scan report show the SUVmax scores of those lesions as?
> What are your genetic (germline) test results?
Treatment options should depend on a full and complete understanding of the recurrence.
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@brianjarvis Thank you for insights. I am just now entering this next phase of treatment which was a surprise. My scan and MRI in December were both clear before surgery, offering hope for a clean surgery with Dr. Pow-Sang at Moffitt here in Tampa. Upon surgery cancer was found in the seminal vesicle and thus we knew radiation was in front of us. PSA rose from .1 to .14 to .203 so we started planning radiation. The next scan prior to starting treatment showed the small lesion in the bone only. I am meeting with the radiologist this week after getting genetic tests. Taking Orgovyx now and starting Nubequa in 2 weeks per Urologist. Oncologist was concerned about rapid rise in PSA and aggressive form of cancer. I am healthy and want to hit it hard as possible now.