The result (other than typical) from the 18F-DCFPyL PET/CT Scan on 12-21-2018 at NIH found:
Abdomen/Pelvis: Focal uptake in a right internal iliac lymph node consistent with PSMA overexpression.
Right bladder diverticulum also noted.
Next Steps: Biopsy of the node will be sampled in the next week or so and is expected to be positive for cancer. I will then meet with RO and discuss radiating all nodes in the pelvic area. 2 months of ADT prior to radiation and for another 2 years afterward in hopes of a long-term remission (or possible cure).
Any thoughts or comments are appreciated.
Here is my PCa Background/History:
Radical Prostatectomy in Mid 2011 (MedStar)
1st BCR (Recurrence) 06-26-2015 at 0.4 PSA
IMRT (38 Sessions of Radiation) to Prostate Bed completed 09/2015
PSA undetectable after IMRT.
2nd BCR 08-25-2017 at 0.2 PSA.
I am currently at 0.4 PSA (12-20-2018)
PSADT is 10 months per MSKCC online Calculator.
I am currently being treated at Johns Hopkins
I had Bone and CT Scans mid-October (Both Clear)
I have had no ADT, Chemo or other cancer medicines.
I have been Tested and have no abnormal Genetic disposition.