PSMA PET scans are not yet available in my area. My MO and I have been in discussions on the use of PSMA versus the FDG PET I currently get. Have extensive metastatic disease in my left pleura, nodes in my mediastinum and along the aorta. To date no skeletal lesions but one area of suspicion.
My MO contends that PSMA PET is limited to those who are looking for spread in the prostate bed, pelvis, immediate nodes, but not intended for routine follow-up and monitoring for widespread disease. He feels that FDG imaging has been sensitive enough to follow any changes in my disease process and is not motivated to send me elsewhere for a PSMA PET since he does not think it would change my current treatment which is Lupron and Zytiga/pred with a PSA that rose and plateaued at about 18.
For those with PSMA PET in your local area, are you being followed now by that scan as opposed to the other options? Does anyone get bone scans anymore?
I am 80 years old and have had PC for 27 years. I am not looking for any curative therapy but wanting to keep the cancer in check so I can enjoy my remaining time without treatments that will make me miserable.