Abdominal and decending aorta aneurysms - Advanced Prostate...

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Abdominal and decending aorta aneurysms

woppaginny profile image
15 Replies

Back in June 2023 I had a PET Scan. The results were negative, no matastisim, no other findings except divertculosis which I have had for years.Early January 2024, I had another PET Scan. No matastisism was found but, this time they found an abdominal Aorta Aneurysm 3.5 cm and an the makings of a decending Aorta aneurysm. My question is ... Would Lupron injections cause aneurysms. It is awful weird that the first pet scan I had in June of 2023 found no aneurysms but this January 2024 pet scan did. Anyone else on Lupron Injections have any similiar results or from any other type of hormone injections to curve testasterone?

Before January 2024 I had no Aorta Aneurysms. This started with Lupron injections.

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woppaginny
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dac500 profile image
dac500

It is amazing how PET scan for prostate cancer can lead to diagnosis of unrelated health problems. It happened to me. A PET scan discovered severe coronary artery calcification. A subsequent heart CT scan discovered a calcium score of 1600 and multiple coronary artery stenosis. I underwent a angiogram which confirmed that I have coronary artery disease in the LAD artery: " The left anterior descending artery is a large-caliber dominant artery with severe coronary calcification. The proximal to mid LAD across the diagonal branch has 60 to 70% calcified stenosis with 50% ostial diagonal disease."

One thing I find is little disturbing is that my MO did not point out the severe calcification to me. I read the report carefully and took it to my cardiologist, who ordered diagnostic tests.

We, the cancer patient, should take control of our treatment.

woppaho profile image
woppaho in reply to dac500

Thanks for your reply, were you or are you on lupron injections or other forms of teststerone control before your pet scan(s). Did you have a pet scan before the one that found your issues. If you did compare the scans to see if the first scan showed signs of the issues stated.

dac500 profile image
dac500 in reply to woppaho

Yes I have been on Lupron since November 2018 for metastatic prostate cancer. Lupron worked very well until July 2023. Then PSA started rising even when on Lupron. My testosterone remained below 20 when I was on Lupron and rising to 100 or so during break from Lupron. I had a PET scan in November 2023 and metastatic cancer was upgraded to castrate resistant. Currently, I am on continuous Lupron + Abiraterone 1000 mg + Prednisone 5 mg.

The November 2023 PET scan was my second. In 2018 I had the first PET scan that found metastatic cancer in multiple pelvic and abdominal lymph nodes. CT scans before November 2023 mentioned coronary artery calcifications, but not severe.

woppaho profile image
woppaho in reply to dac500

What did your cardiologist prescribe or have to say. Being nosey. Have not seen my cardiologist yet.

dac500 profile image
dac500 in reply to woppaho

I didn't get a stent because FFR was 0.82. For most hospitals we need FFR<0.80 for stent placement. Tomorrow I have an appointment with my cardiologist. I would find out more.

woppaho profile image
woppaho in reply to woppaho

He said since it is 3.5, you just have to watch it. If it were 5.0 or more then it would be time to put in a stent so the aneurysm does not grow or burst open

maley2711 profile image
maley2711 in reply to dac500

Your MO's failure to mention the complete results of your scan is, IMHO, inexcusable !! Stuff like that cannot but harm the credibility of the medical profession......is it incompetence, or just uncaring???????

Tall_Allen profile image
Tall_Allen

No conceivable relation between an aneurysm and ADT.

GAdrummer profile image
GAdrummer in reply to Tall_Allen

The culprit could be the prednisone. Woppaginny may be extra sensitive to prednisone or have other reasons for poor collagen production.

Tall_Allen profile image
Tall_Allen in reply to GAdrummer

The prednisone is just a replacement dose. There's no reason to make up side effects that don't exist.

Still_in_shock profile image
Still_in_shock

I have discovered that no 2 radiologist with 2 different PET scans will read the same non PCa issues.

It seems to be incidentals.

7OaksTom profile image
7OaksTom

My aneurism and severe atherosclerosis were found during CT and MRI before I was diagnosed. PC had stress echo done and found a strong heart. Primary care doc is keeping an eye on the aneurism. I'm 77 with history of heart disease and PC in my Dad.

Tjc1 profile image
Tjc1

Between those times and before. What other types of meds have you taken?

TJGuy profile image
TJGuy

I have had many many pet scans over the past six years. I have been on ADT for 28 of those months, and not been on ADT since July 2021.

My two recent pet scans 3 months apart showed a 4cm aneurysm on my upper aorta. I was told 50cm is bad, but 4cm is just something to keep a watch on at this point.

I was then scheduled for a echocardiogram to examine blood flow and workings of the nearby heart valves. I was told everything is working fine but I will have this repeated every year for the remainder of my life.

I'm was already on High blood pressure med which keep my blood pressure at or under 120/70.

I was told it was important to make sure my blood pressure med keeps the BP in a good range 120/70.

A related story.

My sister tore her arorta called a aorta dissection during an intense CrossFit session, went to a local hospital feeling chest pain and was almost sent home without a diagnosis, but one last thought led to a final check which determined she had a aorta dissection. She was airlifted to a major heart center 1 1/2 hours away, with the heart surgery team standing by for her arrival.

This was life threatening, most people don't survive. She underwent three 12 hour long extensive operations over a period of 8 years, spending months in intensive care, eventually dieing from the final operation.

It was discovered she had marfan syndrome after her first operation. Which was to blame for the bulging aorta she tore.

You might to look up marfan and see if you think you have any of the symptoms. And may want to be examined by a doctor to determine if you have marfan.

If so controlling marfan is possible/ and important to do.

SupportP profile image
SupportP

Hello ~ Honestly, I cannot imagine Lupron would have anything directly to do with creating an aneurysm. There are (I'm sure you know this already) a whole host of side effects associated with Lupron, but they all have to do with hormone disruption. The Lupron itself doesn't have an effect on your blood vessels. But having to have Lupron might have an effect on your blood pressure. Just a thought ... very best wishes to you.

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