Tumour in seminal vesicles

[Henry265]

I was diagnosed with pca 2 years ago with a gleason score of 4+4.

The pca has spread to the SV and mri shows a tumour.

After rt and adt my psa is now undetectable but I am worried about the tumour.

How do I know the condition of the tumour.

Do I need to have a CT scan?

Tq

[drmoose]

Your doc needs to weigh in on that, but normally your PSA level is now a good and accurate indicator. You can do a 3T mp-MRI, and/or a PSMA PET-CT, if there is suspicion.

But let others weigh in on that (e.g. Tall_Allen) - and a good doc should be able to walk you through that. If you don't like his explanation - find another (better) doc.

[Henry265 in reply to drmoose]

Thanks Dr.Moose.Hope Tall Allen can also can kindly advise.

[DarkEnergy in reply to drmoose]

A bit of advice, Tall_Allen is obviously PCa "advanced informed" and dedicated forum member that has/is contributing at a high level here for all of us.

But, when you call out a specific member, then others that may have feedback, will pass on responding. so please let the forum openly respond.

I've been a software forum member for many years, this is just curtesy feedback based on my experiences.

I love you Tall_Allen, just an open forum feedback...

[Henry265 in reply to DarkEnergy]

Thanks for your kind advice

[drmoose in reply to DarkEnergy]

thanks, got it.

[Tall_Allen]

I am confused by your post. Are you saying that the cancer spread to your SV after you had RT and ADT to cure it? Are you saying that your PSA is undetectable after this new tumor has appeared after treatment? Perhaps it would clear things up if you were to provide the approximate dates of those diagnoses and treatments.

[Henry265 in reply to Tall_Allen]

The tumour was discovered 2 years ago during diagnosis.

Now 2 yrs later my psa is sill undetectable after 4 psa test(once every 6 months).

The result each time is 0.01ng/ml.

Tq

[Tall_Allen in reply to Henry265]

So, you were successfully treated. You are cured. I don't understand why you are worried with such great results.

[Henry265 in reply to Tall_Allen]

I asked because my Urologist t want me to have a CT scan to find out whether the tumour had shrunk and I am quite reluctant.

Can i safely say the tumour had shrunk with my psa results.

Thank you

[Tall_Allen in reply to Henry265]

You should be listening to a radiation oncologist, not a urologist. The time to investigate with CT or other scans is after PSA has increased to more than 2.0.

[Henry265 in reply to Tall_Allen]

Thank you.Appreciate your kindness.