Just did FDG and PSAM scan after 6 infusions of docetaxel. When compared with the scan in April:
- the residual PSMA avid lesion within the prostate shows a further reduction of PSMA uptake.No FDG-avid component is visualised.
- Previously seen FDG avid predominantly sclerotic osseous metastases are less hypermetabolic with faint to mild residual FDG uptake. No new suspicious FDG-avid bone lesion is seen.
- PSMA : Some of the previously seen lymph nodes has resolved while others are smaller and less PSMA-avid. A lot of improvement seen in most of the PSMA-avid bone lesion - interval decrease PSMA update except for C7, T1, T8, 6th R rib and7th rib show interval resolution in PSMA uptake. No new suspicious PSMA avid bone lesion is seen. No new suspicious or discordant PSMA/FDG-avid lesion is seen for all the major organs.
- Blood Test : PSA continues to drop to 0.149 ( initial PSA 162 Nov 2018) Alk Phospohatecontinue to improve to 72.
-Path Forward: Every 6 weeks, Zometa. Every 3 months Lucrin. Daily intake of Metformin, Amlodipine as well as Prednisone 5mg (alternate day) beside Calcium and Vit D tablets.
MO is happy with the outcome of the docetaxel. Would like to seek any inputs from the team here with regards to the results above as well as the treatment forward being suggested. Have a blessed Christmas and a joyous New Year.