Hi All,
Due to elevated liver enzymes on zytiga - the MO referred my dad to a gastro-ent. He did check the liver manually for inflamation and ordered a few tests - Hepatitis B and Anti HCV for Hepatitis C, both came non reactive, alkaline phosphate which was normal in range at 50, serum protein levels (Albumin, Globulin and A/G Ratio were normal within range, total protein was however lower at 6.3 gm/dl (range: 6.4-8.2). Since my dad has a problem of chronic constipation since the past 10 years and has also had a piles operation done sometime back. The gastro ent. said to get the above tests done and then mentioned that we may have to do a colonoscopy. My dad did a colonoscopy 3 years back wherein one benign polyp was found.
My question is that is it safe to do a colonoscopy due to rectum involvement of his prostate cancer? He had a 68 Ga-PSMA Pet scan in July 2019 upon dx. The report reads:
Intense degree tracer avid heterogeneously enhancing soft tissue lesion is seen involving both lobes of prostate glans (Right > left). The lesion shows extra-prostatic extension along its posterior aspect with loss of fat plane with anterior wall of rectum. The lesion is involving bilateral seminal vesicles. The lesion measures approx. 47 x 38 mm and axial dimension and 52 mm craniocaudally (MAX SUV: 28.7).