I'm looking for some research regarding how often DEXA scans should be scheduled to track bone health. My husband is 61, and 4.5 years from diagnosis. His treatments: Lupron, Taxotere (6 rounds when first diagnosed), Zytiga and prednisone, Provenge. PSA has remained at <.1. No pain, he's still working full time. He has the usual side effects from the treatments, fatigue, weight gain, but nothing serious. He gets a CT scan once a year.
Today, the oncologist scheduled his CT scan for July but did not schedule a DEXA. He told my husband that it's only needed every 2 years. This is the same oncologist that wanted him to start Xgeva as soon as he was diagnosed. I think a DEXA once a year should be scheduled. He has had two scans since diagnosis and has been diagnosed with osteopenia. I think his T was -1.6 in 2020. Previously it was -1.7. He did not have a baseline DEXA.
Thanks in advance.
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It doesn't seem to be changing much. If you feel comfortable getting it every year, get it every year. It's such a cheap and easy test to do. He may find that an estrogen patch and increased weight-bearing exercise are all he needs.
Good idea. Ive inquired about this as its also useful to locate bone mets. Problem is medicare wont pay for it inside the 2 years without a special letter from MD.