First ever post - so hello to everyone.
Was very interested to read (on this site) recently about the lecture given by Dr Eugene Kwon of the Mayo Clinic regarding the treatment of Oligo Metastic Prostate Cancer. Some background information for you. DX 2011 Gleason 7 and as part of the DX was discovered to have 1 met to part of one of my ribs - which was subsequently removed. Straight on to Zoladex every 3 months. 6 months later, upon my requests, underwent radiation treatment to debulk the cancer in the prostate. PSA then declined to <0.01 and remained there for over 18 months. I stopped zoladex almost 18 months ago now. Been a slight increase over the last 6 months. First to 0.01, then 0.02 and last test this week came in at 0.04. Not so happy about the increasing number but my T is back to normal and the PSA is still very low.
My Med Onc has said that once the PSA gets to about 0.5, I will have a PSMA Pet scan (new to Australia) and if they detect just a few mets - then they will use radiation to zap them with the hope of maintaining my health without the need of going back on zoladex.
My question concerns part of Dr Kwon's lecture. He mentioned some patients that had a Choline C 11 Pet scan even when their number was <0.01. I am not sure about the sensitivity of this type of scanning but I believed that you had to wait till the PSA had risen to a higher level before scans could be accurately undertaken.
Unfortunately, the Choline C 11 Pet scans are not available in Austrlia but should I be requesting the PSMA scan much sooner?