Confused after MRI

13

Comments

  • REB72
    REB72 Member Posts: 36 Member

    My daughter had an MRI at this same radiology clinic. The day after her MRI I received an email with a login ID and link to portal. I was able to view results. My PET scan was just on Thursday. I have not received anything yet. The tech indicated 48 hours. Just hoping I hear something early next week. My anxiety is really bad right now. My urologist is on leave for the rest of May. My appointment on the 24th is with a different doctor. Just hoping I at least can see results. My life is basically on hold. I have home repairs that I need to get done as I imagine I won't be able to get them done after surgery. My motivation is shot though as I don't feel like doing much of anything

  • RonB
    RonB Member Posts: 47 Member

    I had my pre-surgery PET/CT done yesterday as well. I don't expect the results to be available for a few days. Like you, there's not a lot I can do about the results of that scan other than to continue prepping for surgery. I struggle with anxiety and am anxious to have surgery behind me. It's my understanding that this scan is to help my surgeon map out his strategy and ensure there's no indication of spread beyond the prostate. I appreciate your anxiety as I had this very experience post-biopsy when the expectation was that I wait two weeks just to get results. After being scolded for five minutes about office protocols in scheduling, my urologist, at that time, just coldly informed me of my diagnosis and scheduled an appointment for two weeks to discuss my treatment plan. I have since changed doctors and moved in order to get care I was confident in. I know how painful and torturous anxiety is. I tried gutting it out at the expense of my blood pressure. Not my best choice. I eventually spoke with our family doctor about something that would help. While the anxiety is still there, the pressure in my chest and the stark fear aren't. I'm far from being what anyone might describe as religious but I also find myself reciting the Serenity Prayer (God, grant me the serenity to accept the things I cannot change, the courage to change the things I can and the wisdom to know the difference). I know this won't alleviate or change anything you're feeling, I hope you know you're far from being alone in what you're experiencing. Deep breaths and focus on those things that bring you the greatest happiness.

  • REB72
    REB72 Member Posts: 36 Member

    Just received a message from my urologist office. They asked if they could change my appointment from 5/24 to 5/28 now. The doctor says he wants to make sure they have "appropriate staff available" for my appointment. I said fine, but that I want results of my PET scam asap and that making me wait nearly 3 weeks for results is torture. All they said was, we will see what they can do. Just tell me what is going on already. Is there additional staff needed for this consultation? Oncology, radiation oncologists? That is fine but they have to realize this message is going to throw me into a real situation of extreme anxiety. I read this message as they have my PET scan results and now they need additional staff on hand.

  • centralPA
    centralPA Member Posts: 322 Member

    That's BS.

    Is there not a patient portal for your medical care system? It should be there.

  • REB72
    REB72 Member Posts: 36 Member

    There is a portal for my urologist office. There is nothing there yet. Results if received probably just were reviewed. This scan was done at a radiology center and they also have a portal. If Results are released to me, I should get an email with login details. I know this as my daughter had an MRI there about a month ago and was emailed login the very next day to view Results. This urology office is really busy. The did the same thing to me with biopsy results by changing appointment for appropriate staff to tell me I had gleason 9 prostate cancer. But I only had to wait a week. This is 19 days after PET scan

  • centralPA
    centralPA Member Posts: 322 Member
  • REB72
    REB72 Member Posts: 36 Member

    I see the results in the portal. What does this mean?

    IMPRESSION: 1. Multifocal intensely radiotracer-avid primary prostatic malignancy. 2. Intensely radiotracer-avid metastatic lower retroperitoneal, right iliac and right pelvic sidewall lymph nodes.

  • centralPA
    centralPA Member Posts: 322 Member
    edited May 13 #49

    It suggests that your cancer is in the prostate (which you knew) and also possibly in multiple lymph nodes unfortunately.

    Now you know where your enemy is, @REB72 . Get ready for your fight.

  • REB72
    REB72 Member Posts: 36 Member

    Ok. That is what I thought.

  • RonB
    RonB Member Posts: 47 Member

    I'm not a doctor. As I understand those tests as explained to me last week, the radioactive materials we're injected with prior to the test are drawn more to cancerous cells than to healthy cells and that's how they can monitor location and spread. I tend to agree with @centralPA on the squeaky wheel getting the grease. This is an occasion where referring to the benefits of early detection being an assumed precursor to early treatment. Three weeks may be routine to the office staff there but this is your life. If they need additional resources they could at least draw you in to the conversation and let you know what type of resources and for what purpose within the context of your condition. Thinking about you and praying for you.

    This may be a helpful article in advance of your meeting with your doctors: https://www.scientificamerican.com/article/treating-prostate-cancer-at-any-stage/

  • REB72
    REB72 Member Posts: 36 Member

    Since I have over 2 weeks until my consultation with my urology clinic, I need to educate myself. Since the PET scan indicates possible spread to pelvic lymph nodes and pelvic wall, does this change the possible initial treatment? Thus far, my urologist only discussed surgery. But I am thinking that my appointment was changed to bring in other doctors due to findings on PET scan. My biopsy was 16 of 17 cores. Nearly all of them gleason 8 and 1 gleason 9 (4+5). PSA 16 but that was a couple of months ago. I am trying to guess on the stage being either 3b or 4a due to lymph node involvement. Locally advanced PCA? 52 years old. In a situation like this, would there still be a need for RP and then follow up with RT? Or would hormone therapy be brought in as well? I just want to be able to have good questions and be informed of my options prior to my consultation. If there is something that is here that would make RP not necessary, I would like to know that. I find differing information online. Could they remove pelvic lymph nodes during surgery? Or just radiation?

  • RonB
    RonB Member Posts: 47 Member

    As I understand it, hormones (ADT) are essential to the effectiveness of the radiation treatment. When discussing post -removal recurrence with my surgeon , he advised that radiation would be his recommendation for additional treatment. That was obviously specific to my case but I mention it to suggest you may need both surgery and radiation therapy. As terrifying as all this may feel, there is a bright spot in that you know and can now take the best appropriate actions based on your condition and needs. Get knocked down 9 times, get up 10. We have named my pc and I don’t mind telling you we say some awful things about it as we would an uninvited house guest who had stayed beyond their welcome.

  • Old Salt
    Old Salt Member Posts: 1,505 Member

    As mentioned in my May 4 post, you should really be reading up on radiation therapies as well now that you know that there is local spread. Your case deserves the input of a radiation oncologist with experience in cancer of the prostate. Most urologists are not qualified or up-to-date on radiation therapies.

    Once you know more, you can decide if surgery (with follow-up radiation) is the best course of action.

  • centralPA
    centralPA Member Posts: 322 Member

    They can remove the lymph nodes (Pelvic lymph node dissection) during surgery, and I am sure they would.

  • RodgerM
    RodgerM Member Posts: 63 Member

    hi , highly reactive too . Just got rx for some anxiety, depression drugs, hope the help me!

  • ericolet
    ericolet Member Posts: 2 Member

    REB72, Best of luck. Please keep us updated on your next steps.

  • REB72
    REB72 Member Posts: 36 Member

    My consultation at urologist is tomorrow. I am really scared but I have waited 3 weeks for this appointment. Surgery scares the crap out of me. I never expected prostate cancer. I have quit drinking alcohol and smoking for 4 months now. I have lost 30+ pounds and have started running on my treadmill again. A1C is down from 10.4 to 6.9 in three months and blood pressure is normal for the first time in probably 7 years. These changes I started before I even had PSA test. Through the depression caused by this diagnosis I have somehow been able to keep going on getting as healthy as I can for surgery. My wife and my 15 year old daughter desperately need me here as i don't see them making it financially without me. I really worry about being healthy enough for surgery. Severe sleep apnea, diabetes, blood pressure, fatty liver disease. PET scan also found fatty liver, enlarged spleen and some granuloma on my lung. Lifelong smoker and heavy drinker. February 8th was my last cigarette and alcoholic beverage.

  • lesjanes
    lesjanes Member Posts: 67 Member

    I understand your anxiety and worry. But you will likely have treatment options.

    You should also be be proud of the life style changes you have made and the measurable results you can see in your health. You stopped smoking and drinking 3 months ago… you've lost 30 lbs, dropped your A1C significantly, and your blood pressure is back to normal!!! Congratulations ! That is really outstanding! You are doing positive things to improve your surgical outcome. It is amazing our bodies recuperative abilities once we stop bad habits and develop good habits. What you have done in the last 3 months is challenging for anyone to do. Congrats and keep it up!!

  • swl1956
    swl1956 Member Posts: 123 Member

    It's amazing what a cancer diagnosis can do to us. I too gave up alcohol, changed to a healthier diet, and been power walking over 3 miles every day. Lost 25 lbs since last November. Sounds like you're doing all the right things. I'm certain it will give us an advantage when compared to not having changed our bad habits. I'm committed to and hoping I can keep it up going forward. For me the biggest gain is it has very much helped alleviate some of the stress. Keep up the good work! You are not alone. Hang in there!

  • RonB
    RonB Member Posts: 47 Member

    Best of luck in meeting with your urologist. We don't know each other but I suspect this isn't the first time your back has been against the wall. Take some time to consider all the challenges you've already faced in your life and how you faired in the long-run. You're far from being alone and with every tick of the clock you're closer to having this all behind you. Hang tough @REB72