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

Posted by hector13 @hector13, May 12, 2022

My prostate was removed 5 years ago. Two months ago, my PSA went from 0.00 to 0.09, and this month the PSA increased to 0.2. My urologist believes I am a candidate for the new PSMA-PET scan approved in 2020 that is more sensitive than previous scans in detecting small tumors. Has anyone had this scan? If so, what was your PSA at the time and was the cancer found?

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@web265

I never had this done, but I'm curious. You say it explains how aggressive the cancer has become. Did having this knowledge change your treatment in any way?

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I was recently referred to the urologist after my PSA rather quickly rose to 4.63. Subsequent biopsy indicated cancer with a Gleason score of 3+4 and a PET scan showed the cancer was confined to the prostate. With this information, my urologist and I thought I was a good candidate for “active surveillance”. Then the Decipher results came back as “high risk”. To answer your question, yes this information changed my treatment. The Decipher report made clear that “active surveillance” would not be appropriate. So I plan now to go the radiation and hormone therapy route and will be meeting with the RO in the near future.

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@dgd1953

I was recently referred to the urologist after my PSA rather quickly rose to 4.63. Subsequent biopsy indicated cancer with a Gleason score of 3+4 and a PET scan showed the cancer was confined to the prostate. With this information, my urologist and I thought I was a good candidate for “active surveillance”. Then the Decipher results came back as “high risk”. To answer your question, yes this information changed my treatment. The Decipher report made clear that “active surveillance” would not be appropriate. So I plan now to go the radiation and hormone therapy route and will be meeting with the RO in the near future.

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I guess my team just assumed that my Gleason, 4+3 showed showed it to be aggressive enough for them. Surveillance was never discussed, my PSA was higher though as well.s

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My doctors at UCLA recommended RP over radiation ( although they said both were good treatments) but if the cancer returns and I got radiation, Radiation treatment might not be available to me again. Hence, I had RP 6 months ago plus lupron and Erleada for a year. The result was good but it has only been a year and we don’t know what the long term result will be. I am in a clinical trial for aggressive, high gleason score, nm, castration resistant cancer. The average result for guys like me is 41 months from the start of treatment for the cancer to return and thereafter 30 months of radiation or chemo . I think that there is a slim chance for a cure, but who knows.

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