I even feel dumb writing this but unfortunately the expression "professional incompetence" comes to mind. The question is, do the 18F DCFPyl PET /CT scans actually show the prostate gland? I had the scans last week and only just received the written report. In three separate paragraphs it states 'persistent psa post radical prostatectomy', 'evidence of prostatectomy with no abnormal radiotracer uptake in the prostate bed', 'prior prostatectomy'. The point is I have never had a RP. I had 78g of RT (8 years ago) and 3 years of Lupron. How could a Radiologist from a top well-respected hospital in Melbourne Australia make these statements? It makes me worried about the rest of the assessment.
Yesterday in a phone consultation, my RO stated the prostate was clear and he could still see the 3 gold markers but there were 3 maybe 4 spots in the pelvis (he called it Regional Re-Occurance). We decided to do 6 mth of Lupron and not SBRT at this stage. To hopefully kill off any floaters in my system. I did not have the written report at that time.
The other news in the report was there was a 5mm left external iliac node SUV Max 7.5 , small right internal iliac node SUV 6.5 , small 3mm para aortic lesion SUV 4.8 , no distant or bony metastasis.
Have given the Urologist the flick.
Appreciate any comments. Thanks