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Should you get a bone test if only on ADT for 6 months
Prostate Cancer | Last Active: 5 days ago | Replies (28)Comment receiving replies
I am 77 years old, diagnosed with Adenocarcinoma prostate cancer in Feb 2025 with 3 tumors (Gleason scores 7,8,9) contained within prostate. Took ADT hormone treatment with 3 Leuprolide and Denosubmeb at 6-month intervals along with 27 Radiation treatments in July-August 2025. No initial bone density test offered. Found out height dropped 1.5 inches in May 2026. Bone Density completed with normal results. After third Hormone shot, experienced higher than normal hip pain, small sores all over body which itched and some developed into sores. Not much diagnosis and treatment for hip pain from Cancer team, resorted to dermatology & Orthopedic specialists for support. Have 1 year Radiation Oncology follow-up in September with only a PSA test to support. Previous PSA scores good, 1 testosterone test in Jan 2026. Should I push for PET Scan to ensure cancer cells have not become immune or spread?
Replies to "I am 77 years old, diagnosed with Adenocarcinoma prostate cancer in Feb 2025 with 3 tumors..."
@monte09
Hi,
If your PSA is starting to climb after several readings I would say a PET scan would be the next step. Since you did have radiation you will have some live Prostate tissue so your PSA test score could bounce around a little the settle down to a average level.
Dave 3+4
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@monte09
You don’t mention your current PSA level. If it’s undetectable Or real low, then insurance may not pay for a PSMA pet test. That is what you want however, if you have hip pain. They could do a bone scan just to see if they can find a metastasis with that, The PET scan is better, but they can do the bone scan with a low PSA. They can also do a CT scan to see if there’s any changes from a previous scan. That is sort of standard to do every six months for somebody that has had prostate cancer treatment.
If you are going to continue to get Lupron shots, you should ask to switch to Orgovyx, A daily daily pill you take, and it may not have the same side effects.