PET/CT Scan Results

[alperk]

DX 8/21 Started ADT Lupron, Abiraterone, Prednisone. PSA <0.64 until 1/31 Blood work PSA .253. MO ordered PET Pyarify (F18 PSMA) Scan 02/14/2023. Results:

Head/Neck, Chest, Abdomen/Pelvis – No suspicious physiologic activity elsewhere.

Skeletal:

1.Numerous stable non tracer avid sclerotic osseous lesions on the CT portion of the exam favoring treated metastases. New small focus within a lesion at the left acetabulum consistent with active metastasis.

2. New mildly tracer avid nodular opacity in the left lung likely benign inflammatory. Recommend CY in 2 months to assess stability

3. No suspicious prostatic activity. No enlarged or tracer avid lymph nodes

Prior Scan was:

PET/CT F18-Fluciclovine (Axumin) Prostate Cancer August 30, 2021

Head/Neck, Abdomen/Pelvis – No suspicious physiologic activity elsewhere

1.Sclerotic foci throughout the cervical, thoracic, and lumbar spine as well as within the sacrum, bilateral iliac bones, and bilateral proximal femora. Sclerotic foci within the bilateral ribs and scapulae, as well as the sternum. Some of these sclerotic lesions demonstrate minimal increased radiotracer uptake.

2. No evidence soft tissue metastasis.

Recommending RO for the hip lesions

Blood test 2/24. Hoping not hormone resistant.

I am encouraged that prior lesions are inactive and the hip one can be treated.

What do you warriors think ?

[katartizo61]

we share similar histories. I am following. Go bless you!!!

[j-o-h-n]

Hey Al stop worrying and perk up.....You're doing good for an 82 year old youngster. So tell us where you're located and being treated.

Good Luck, Good Health and Good Humor.

j-o-h-n Friday 02/17/2023 1:45 PM EST

[treedown]

Looks pretty damn good after 27 years to me.

[alperk]

Update. Blood test shows PSA increase from .253 to .309. MO appt next Tuesday. Expect treatment for castrate resistant. Comments ???

[alperk]

I have extracted findings from my 5 scans from 070921 to present which show the hip lesion has been present from the beginning but now is the only one on the CT portion of the exam not favoring treated metastases. I think this is good news with that lesion getting radiation implying all others are responding to ADT. What do you guys think. Tall Allen would really like your perspective.

[alperk in reply to alperk]

I meant to say "Tall Allen, I would really like your perspective."