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New PT Scan Available

cchqnetman's picture
cchqnetman
Posts: 119
Joined: Sep 2012

In May of 2016 the FDA approved a new tracer for PET SCAN to help detect recurrent Prostate cancer.

It is Axumin and is approved exclusively for “imaging in men with suspected prostate cancer recurrence based on elevated blood prostate specific antigen (PSA) levels following prior treatment.  For more information you can search axium or go to axium.com 

I am scheduled to have the scan on Thursday.  I will post the results.  I am about 4 yearws post treatment with HDR and my PSA is around 20.  My Eurologist said in the notes:

Impression: Prostate CA - Pt likely has aggressive metastatic PCa, based on DRE and rate of PSA increase. I have recommended a PET scan to better document.   Ihave recommended Casodex 2 wks prior to next visit -> ADT if scan is positive.

Cheers

VascodaGama's picture
VascodaGama
Posts: 2988
Joined: Nov 2010

I wonder why your urologist has already decided on ADT. A positive picture would give you the chance in aiming cure with spot radiation, if the bandit is located at a convenient place. A negative scan would be a false negative and you would need to attack it with chemo or ADT (or both).

I hope the image exam is successful.

Best,

VG

cchqnetman's picture
cchqnetman
Posts: 119
Joined: Sep 2012

Here are the results from the PET Scan I had.

 

Findings:

There is activity in the right lateral aspect of the prostate gland. There are small inguinal nodes with mild uptake.  There is uptake in the left iliac bone without corresponding loosening or sclerotic lesion.   

There is uptake in a right cervical lymph node and in the right piriform sinus. 

Nondiagnostic CT images show: There are changes of prior right craniotomy. There is no evidence of acute intracranial abnormality. Punctate air is a small punctate sclerotic lesion in the left iliac bone (image 267 of series 2) which has the appearance of a bone island. There are similar lesions in the right iliac bone along the SI joint (image 257 of series 2).

There are degenerative changes in the lumbosacral spine.

Impression:

Activity in the right lateral aspect of the prostate gland, likely corresponding to primary site of disease. Small inguinal nodes with the uptake and uptake in the left iliac bone without corresponding lucent or sclerotic lesions are nonspecific.

Uptake in the right piriform sinus and in the right cervical lymph node. ENT evaluation is recommended as Axumin uptake can be seen in cancers other than prostate.

VascodaGama's picture
VascodaGama
Posts: 2988
Joined: Nov 2010

David,

You have posted the above in another of your threads on which I gave you my opinion. I believe you should try investigating the contents of the lesions at the upper body as recommended in the radiologist's report. Here is the link;

https://csn.cancer.org/comment/1587859#comment-1587859 

Best,

VG 

cchqnetman's picture
cchqnetman
Posts: 119
Joined: Sep 2012

VG,

I realize I posted the information in the other post.  I thought it was applicable here also since it was relative to the new PET Scan about which I posted.

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