When it hits the bones...

[compiler]

I was dx. in '09, surgery in early 2010 (confirmed G4+3). Failed. SRT in 3/2011. Completely failed (PSA never slowed down). Since then, HT which works great and allows me to take HT vacations. When PSA comes back: scans. Did a C11 scan at Mayo in 2014. Found in external lymph nodes. Did SBRT (and HT for 3-6 mos). Gave me time. PSA reared it's ugly head a few years later. Did GA-68 PSMA scan at Umich. Similar result. Same exact tx. It worked till very recently. Will do pylarify PSMA scan at UMICH next month. My questions: Say my PSA is about 2-2.30.

1)What are they likely to find at this level (is there even an answer?)

2) Suppose they find a few lesions in the bone. Do they also do SBRT to obliterate those spots like they did in my ext. lymph nodes. Or do they just wait until/if pain/discomfort arises and then try to palliate this?

Mel

[GP24]

They will probably find mets at this PSA level. But it could just be lymph node mets. I think this is more likely.

If they find just about three bone mets you can get them radiated with SBRT. It depends whether you insist on getting them radiated.

[Hidden]

There are anecdotal accounts of people playing whack-a-mole for a long time. You probably have to say it hurts to get insurance to pay. And of course everyone's cancer has a different aggression level.

ochsnerjournal.org/content/...