Bone CT results.

[Alfi21]

Hello everyone,

I am oligometastic. After prostatectomy 3.5 years ago, I had two mets in the femur. They were treated succesfully with stereotactict radiotherapy.

My PSA currently and for the last 33 months is <0.01

Recent Bone CT scan results finds 22 mm new sclerotic metastasis in the femur.

My MO said this might be normal and order a new bone scan in six months.

My PSA is undetectable and yet the bone scan shows metastasis.

Why the PSA isn't rising as it did in the previous bone metastasis?

Has anyone had similar experience.

Your input would be very much appreciated.

Six months is a long time to wait to get a more definitive result.

Thanks.

[Tall_Allen]

PSA isn't cancer. You irradiated the biggest sources of PSA, which I call "treating PSA." But you didn't treat the cancer with hormone therapy.

[Alfi21 in reply to Tall_Allen]

thanks for your reply TA, Sorry I should have mentioned that for the last 3.5 years I am also treating the cancer with hormone therapy. I do 3 monthly Zolotex injections.

[Tall_Allen in reply to Alfi21]

Then it’s a nonPSA-producing met. Maybe ask for a biopsy.

[Alfi21 in reply to Tall_Allen]

Thank you TA.

[Alfi21 in reply to Tall_Allen]

Just an update.

I have just spoken to my MO and he said that I am doing well with undetectable PSA and the uptake is from the old treated mets in the femur. There are no other metastasis in the organs or the bones. Hopefully he is wright on this.

Thank you again TA.

[GP24]

In six months it could turn out to be a false positive finding.

[Alfi21 in reply to GP24]

thanks GP24. I had a false positive in the liver 3.5 years ago.

[NecessarilySo]

My theory on this is that the "new metastasis" is actually the old rad-treated one and it is dormant but alive. The ADT is effectively keeping it from growing, although starving it of T. You could try to self-treat it with heat while waiting for further development medically Just my own theory, not proven or fact.

[Alfi21 in reply to NecessarilySo]

thank for your comments. I think you might correct on this.

[Alfi21 in reply to NecessarilySo]

what kind of heat? Like heat pack of deep heat cream? Thanks

[NecessarilySo in reply to Alfi21]

Studies show that all cancer cells die when exposed to 106 degrees F. I use hot hot showers, heating pads, sauna, heated 2.5 lb steel weight from dumbell set. Method is not so important. Temperature is important.

canceractive.com/article/wh....

[Derf4223 in reply to NecessarilySo]

They don't die but become more susceptible to chemo.

[charledgard]

hello, what was the situation just after your prostatectomy 3,5 years ago? gleeson score, margins, etc...?

[Alfi21 in reply to charledgard]

I don’t know my Gleeson score after prostatectomy but before was 7. My PSA before was 6.7 after prostatectomy was 5.6 because of 1 met in my pubic area and 2 Mets in the femur.

[charledgard in reply to Alfi21]

i asked because the examination of the protaste after removal gives you a clearer picture. My gleason score was 7 (3+4) according to biopsy, and the score was confirmed after the operation. Wish you the best!

[Alfi21 in reply to charledgard]

thanks for letting me know. I

Wish you all the best too.

[Immd3415]

Best thing i ever did....i have had no problems...Cancer was 7 on scale...sexually was the only thing that was very slow developing.....

[Alfi21 in reply to Immd3415]

after prostatectomy my PSA was 5.6. I did psma pet scan and I had 1 met in the pubic area and 2 Mets in the femur. I don’t know of my Gleeson score after prostatectomy. Before prostatectomy it was 7.

[Immd3415 in reply to Alfi21]

after or before...you mentioned after twice...confusing

[Alfi21 in reply to Immd3415]

the Gleeson score before prostatectomy was 7. I don’t know what my Gleeson score was after prostatectomy.

[Immd3415 in reply to Alfi21]

It should be much lower now to be on the right track...my Gleeson score was the same as your; it has ben 0.03 the last two years ( tested every 6 months )