Nov 14, 2013 - 8:40 am
Coming up now on 4 years since my Radical Prostatectomy (12/14/09) I continue with an undetectable PSA (<0.1) which is typically a good sign. What has bothered me over the past 4 years is that upon diagnosis of my Prostate Cancer my PSA was only 2.2, which is the highest that it has ever gotten. My history is: Radical Prostatectomy, 40 Radiation Treatments, Hormone Treatments with belly shots for three years and daily bicludimide pill for the last two of the three years. My Gleason Score is 9, 12 of 12 biopsy samples positive for cancer, positive margins and seminal vesicle involvement. Stage T3bN0M0
I have been experiencing some lower back pain so my PCP ordered a Bone Scan which revealed additional uptake from the previous scan so they scheduled a plain x-ray. The final conclusion was the increased uptake was probably caused by degenerative issues such as arthritis. PROBABLY? Not a very comforting conclusion.
After reading the following article online http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768452/ I realized that bone scans and plain x-rays were not conclusive and an MRI was much more definitive. I contacted my VA Primary Care Physician and asked if it was possible for the VA to perform an MRI. Although the PCP felt the bone scan and x-ray results showed degeneration he agreed to set up an appointment for me to receive an MRI.
A few days ago I saw my VA urologist and produced the article. His first comment was that this was from a British Journal and not from the United States. My response to that was, “Yes, but their bodies are the same as ours!” After he reviewed the article he admitted that it was a good article and if he were me he would be requesting an MRI as a more conclusive test. My feeling is that with an aggressive Prostate Cancer I must be at least as aggressive.
I am scheduled for November 21st for the MRI and will report back with the findings.