Oct 29, 2013 - 1:11 am
my husband has been watching his PSA slowly rise for the last fifteen years, when it reached 13 in 2011 he got one posetive bit from a biopsy gleason of 6. we were encouraged to watch and wait no big deal. In June 2013 PSA went to 14 so we had another biopsy four positive bites gleason of 7. We did bone scan and mri and we were told possable spread some small lesions seen in hip and spine but not sure. Now we were getting two different opinions so we calledStanford hospital for another opinion they said get a petf18. When we got the results this is what it said....Osteoblastic metastatic bone lesions involving L2 and L3 vertebral bodies on pelvis. AND Hypermetabolic mediastinal and bilateral hilar lymph nodes consistant with metastatic adenopathy. Reactive hyperplastic a consideration
Our home town tumor board said not sure if it has spread. Started hormones Sept 9. Took a trip to Stanford hospital oncoligist uroligy doc said stage 4 prostate cancer probably spread to lymph nodes. Our home town uroligest says he doesnt think so because his PSA wasnt that high and the spread to his bones is not even a for sure thing. The lymph nodes were 1-1.2 cm and SUV 7-8.2. 1-7-cm lesion was slightly enlarged on his hip from a year ago.
Does any one have any insight or experiance with such conflicting diagnosis. How uncommon is it to spread to the chest lymph nodes. We are trying to stay positive but this one seems confusing. HELP new pet scan on Dec. 6