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Has anyone had the PSMA-PET scan? Was cancer found?

Prostate Cancer | Last Active: Feb 4, 2023 | Replies (133)
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@mikewo

I had a PSMA Pet scan on 12/2/22 and it showed my cancer was confined to the lesion in my prostate which gave me peace of mind that it had not spread and that I had time to investigate all options before making a decision as to treatment. I had a 30-core biopsy of my 100-gram prostate with 5 cores all in the same spot positive for PC. 3 cores were 3-4 and two were 4- 3. currently looking for a 2nd opinion from a different pathologist as to Gleason numbers. PSA is 2.9 and lesion is 7mm according to MRI.

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michaelcharles | @michaelcharles | Jan 29, 2023

Personal, non-medical opinion: I would have prostatectomy at a center of excellence or by a very experienced Urologic Surgeon. And soon.

Removal of cancerous prostate while cancer contained within capsule was my wish; unfulfilled because some cells had escaped (EPE), and now Radiation and Hormone therapy to chase down the lousy bastards.

And I know that medicine is balancing treatment vs overtreatment. Also, my physical recovery from surgery at 72 has been terrific, so I am a RP advocate (continence has been excellent; ED significant changes and a work in progress).

Very personal opinion of 1 (some might say radical).

Note: My MRI suggested cancer contained within prostate capsule and my Gleason scores were higher (8s and a 9), last 4 PSA results were 4.6, 5.9 and 7.5 at time of MRI (over about 2 yrs).
Would surgery earlier have eliminated the cancer? Who knows. But now I am chasing cancer cells.

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