Dx March 2021 Gleason 9 mets to lymph nodes(in profile) after speaking to urologist, Ro,Mo.
Decided to go with MO's advice @ Cancer treatment centers of America . He put me on Abiraterone 1000mg Daily 5mg Prednisone daily Starting 8/1/2021 PSA 60 within 30 day went to undetectable. MO retired oct 2022 Switched to Northwestern Medical Had Pet scan Jan10 2023 saw Mo to discuss results And He told me that I was CANCER FREE according to scan and my Prostate has gotten smaller. still in shock CTCA told me the best thing I could hope for was to Manage my disease.
I think your new MO was careless in his word selection. No doubt your PET scan results are encouraging, however, once a patient progresses beyond focal disease, generally the best you can do is manage the cancer as if it were a long term disease. Your treatment has reduced your tumors but are you really cancer free?
this is from report ABDOMEN: No pathologic tracer activity. Various sites of retroperitoneal uptake bilaterally. Corresponding all cases to the anatomic course of the ureters and therefore is consistent with excreted tracer activity in peristalsing urine. No separate foci of uptake are seen to suggest metastatic disease. Exophytic lesion of the left kidney is consistent with a cyst. A few calcified plaques of the aorta are seen. A few uncomplicated colonic diverticula are noted.PELVIS: No pathologic tracer activity. This typically no abnormal uptake is noted within the nonenlarged prostateBONES: No pathologic tracer activity. No suspicious osseous lesion. Degenerative changes are present.OTHER: Negative. CONCLUSION: No abnormal tracer localization to suggest residual, recurrent, or metastatic malignant tissue or adenopathy. No significant incidental acute abnormalities.Various additional nonacute findings are noted as discussed in detail in the body of the
Excellent - celebrate!! Live life and stay vigilant!!
Will do. Thank you.