Could use your feed back on our current status as we move forward. Mainly I am curious as to how often and at what junctures CT scans should occur. Here’s the recent background ( also see profile):
Back in November I posted that my husband had completed 6 rounds of chemo (docetaxel)—concurrently he was receiving Eligard injections every 3 mos. and his PSA #s were coming down incrementally. But surprisingly the ct scan after the chemo showed an uptick in the spinal bone mets (he’d had surgery for spinal compress about a year ago- the same time he was first diagnosed).So we learned that the chemo had failed. A few weeks later he began Abiraterone (1000 mgs daily). And then in February monthly Xgeva shots were added to the mix.
The latest blood work showed that his PSA is now at .07 (that’s with prostate intact) and the alkaline phosphate s now in the normal range.
Scott has his next appointment with MO in June. Should he ask for another CT scan and perhaps a bone density test?
Thanks in advance for your continued feed back on this difficult journey. -E
With PSA 0.07 and ALP normal, his CT scan will not tell much and might cause more confusion as scar tissue, arthritis areas, inflammed areas and healed mets..all show up as lesions on CT scan.He certainly needs a bone density scan (DEXA) to assess his fracture risk as T score is needed to put in FRAX calculator to find out his fracture risk.