No Longer Undetectable, PSMA Results - Advanced Prostate...

Advanced Prostate Cancer

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No Longer Undetectable, PSMA Results

DesertDaisy profile image
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I posted a few days ago about the fact that my husband had been undetectable since his prostate was removed in April of 2021. And then on 3/31 his PSA was 6.3 and on 4/03 it was 7.1.

The oncologist ordered a PSMA-CT scan and that was done today. The oncologist's PA called us with the results and she felt that the results weren't horrible. She said that there were some lymph nodes near the abdomen and a kidney that appear to be cancerous, but nothing else indicated. The report also indicates an avid lymph node in the supraclavicular region. The bones and other organs are clear. Here is a portion of the report that mentions the tracer avid lesions. I will admit that I don't know what the max SUV means.

Pelvic and abdominal lymph nodes: Several adjacent the right retrocrural tiny tracer avid lymph

nodes measuring up to 1 x 0.7 cm with max SUV of 6.2 seen on image 190.

Tracer avid left para-aortic lymph node measuring 1.3 x 0.6 cm with max SUV of 20.1 cm on image 213.

Additional tracer avid left para-aortic lymph node measuring 0.5 x 0.5 cm with max SUV of 10.6 seen

on image 230.

Bones: No tracer avid lesions. No suspicious lytic or blastic lesions. Age-appropriate DJD and DDD.

Lines/Tubes/Devices: None.

Head and Neck: Tiny tracer avid lymph node at the left supraclavicular region with max SUV of 2.9

seen on image 105.

She spoke with the oncologist and the plan is to start my husband on Casodex and Eligard. I was hoping that radiation would be an option, but since there are lymph nodes beyond the prostate bed I'm assuming that won't be an option.

They have also sent tissue removed during the surgery for somatic testing with Tempus.

This is all the information I have now.

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DesertDaisy
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Tall_Allen profile image
Tall_Allen

Consider the PSMAddition trial:

clinicaltrials.gov/ct2/show...

I suggest that you famialize yourself with the term micro-metastasis. Then talk to your medical oncologist about whether he has an opinion.

Gourd Dancer

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