looking at the big picture??

[Ilovemyhubby96]

my husband MO was very pleased with Gary’s last PSMA SCAN, looks better then the one done in February 2023. No Mets in bones, lungs, kidneys any major organs, we are so grateful to God and the people that he has used to help Pc patients.

We have been conditioned to look at PSA as the one factor to keep our eyes on. Our MO told us last week to look at the big picture. But my husband and I are having problems with this theory, is anyone else having these issues. We are thankful for th scans, but what can possibly be the culprit that is keeping our PSA creeping up? Gleason in 2003 was 3+4=7 has RAD in April 2003. TIA

Mary

[Cape1]

details, please. What is his PSA now? how fast is it doubling? What was it at diagnosis?

[GP24]

The PSMA PET/CT provides a better picture of the tumor burden than the PSA value. You should not concentrate on the PSA value. Every small increase will worry you. Try to avoid the side effects from further therapies you will need if you try to push down the PSA value.

[Tall_Allen]

His prostate cancer is not curable, but he can hopefully continue to have various therapies to keep it in check. This may help you understand the big picture:

nccn.org/patients/guideline...

[boney723]

Where was the cancer shown in the February PSMA?

[Ilovemyhubby96]

Head/neck: Intracranial contents are normal. Normal physiologic uptake in the salivary glands and lacrimal glands. There are multiple enlarged lymph nodes in the left supraclavicular lymph node station, which demonstrate intense radiotracer uptake. When compared to the previous exam, these have progressed. One large left supraclavicular lymph node image 97 of series 3 measures 1.1 cm. This has increased in size. Chest: Heart size is within normal limits. There are coronary artery calcifications indicating coronary artery disease. No mediastinal, hilar, or axillary lymphadenopathy. Lungs are clear. Abdomen/pelvis: Cholecystectomy. The liver, spleen, adrenal glands, kidneys, and pancreas are within normal limits. The rectum and bladder are normal. Prostatectomy. There are multiple enlarged lymph nodes throughout the retroperitoneum. These also involve the gastrohepatic ligament and the hepatoduodenal ligament lymph node stations. Lymphadenopathy in the left pelvic sidewall, as well as the bilateral inguinal regions, significantly worse on the left. A left inguinal lymph node image 294 of series 3 measures 4.5 x 3.0 cm in maximal axial dimensions. This previously measured 1.4 cm. A gastrohepatic ligament lymph node image 177 of series 3 measures 1.6 cm and previously measured several millimeters.