ProstaScint Scan

Bob & Wife

Regular Member

Joined : Apr 2008

Posts : 100

Posted 6/1/2008 6:02 PM (GMT -7)

Has anyone had this scan done after RP to determine if radiation treament is still a option? This is the first time I have heard of this scan and would like some input before Bob's appointment on Thursday with the oncologist. Thanks so much.

Bob's wife

Age 59 at diagnosis

PSA 1.7 Nodule felt. Biopsy 4+4 T2B

1-30-06 Surgery, Infiltrating adenocarcinoma.Nodes & margins clear

Post op Gleason 7 T2c 4+3 PSA .04

12-07 PSA jump .14 (11 Months)

12-07 Nodule felt - biopsy negative

PSA .16

PSA .17

4-3-08 PSA .32 ouch

4-15-08 Nodule size increased.

5-8-08 PSA still .32

5-15-08 Bone scan clean, nodule size increased. Biopsy scheduled for 5-22-08

5-30-08 Biopsy came back cancerous. Next step consultation with oncology 6-5-08 for further scans & test. Pain in hips and lower back for three months now.

smilingoldcoot

Regular Member

Joined : Jan 2008

Posts : 338

Posted 6/1/2008 8:12 PM (GMT -7)

Bob's wife

I had the prostascint scan done prior to starting any treatment. It is primarily done to determine lymph node involvement. My doctor said it is definitive for cancer in the lymph nodes. Luckily mine showed my lymph nodes to be clear.

Hope this helps

RIchard

Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana

Biospy 1/10/08 Gleason 10, Stage T1C 8 of 12 samples positive all Less Than 5%

U of Florida Proton Therapy Institute

5/2/2008 LUPRON & Casodex

IMRT to start 5/16/2008 for approx 4 weeks with Proton to follow for approx 4 weeks

Turn Stumbling Blocks into Steping Stones and Keep Smiling

Our Journey is on WWW.GLEASON10.COM

BillyMac

Veteran Member

Joined : Feb 2008

Posts : 1858

Posted 6/1/2008 11:26 PM (GMT -7)

You may have seen this site in your research but if not it may be helpful.

www.prostate-cancer.org/education/staging/Kipper_ProstaScintUpdate

UPDATE................I just noticed the link is not available as that link any longer.......if you do a search (in the "search" function) in the PCRI site that comes up when you attempt to go to the above, it will take you to the article (2nd listing) among others about Prostascint. Hope it is of some help.
Bill

1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable

Post Edited (BillyMac) : 6/2/2008 12:39:01 AM (GMT-6)

smilingoldcoot

Regular Member

Joined : Jan 2008

Posts : 338

Posted 6/2/2008 10:59 AM (GMT -7)

Another site that might give you info also

http://www.healthsystem.virginia.edu/internet/radiology/nuclearradiology/prostanscint-scan.cfm

Richard

Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana

Biospy 1/10/08 Gleason 10, Stage T1C 8 of 12 samples positive all Less Than 5%

U of Florida Proton Therapy Institute

5/2/2008 LUPRON & Casodex

IMRT to start 5/16/2008 for approx 4 weeks with Proton to follow for approx 4 weeks

Turn Stumbling Blocks into Steping Stones and Keep Smiling

Our Journey is on WWW.GLEASON10.COM

Bob & Wife

Regular Member

Joined : Apr 2008

Posts : 100

Posted 6/2/2008 5:41 PM (GMT -7)

Richard & Bill,

Thank you for the information and input, it is very helpful and will ask about the scan when we go to the hospital on Thursday. I had never heard of that scan before so we are not sure if it is available in Oregon or not. We will find out where we can get one done if one is not available in Oregon.

Thanks again

Bob's wife

Age 59 at diagnosis

PSA 1.7 Nodule felt. Biopsy 4+4 T2B

1-30-06 Surgery, Infiltrating adenocarcinoma.Nodes & margins clear

Post op Gleason 7 T2c 4+3 PSA .04

12-07 PSA jump .14 (11 Months)

12-07 Nodule felt - biopsy negative

PSA .16

PSA .17

4-3-08 PSA .32 ouch

4-15-08 Nodule size increased.

5-8-08 PSA still .32

5-15-08 Bone scan clean, nodule size increased. Biopsy scheduled for 5-22-08

5-30-08 Biopsy came back cancerous. Next step consultation with oncology 6-5-08 for further scans & test. Pain in hips and lower back for three months now.

smilingoldcoot

Regular Member

Joined : Jan 2008

Posts : 338

Posted 6/2/2008 6:05 PM (GMT 0)

There was only one place in Lake Charles, LA that does them. I went in on Thursday and had an injection and then went back on Monday for my scan. They actually took some blood on the second trip and then put it back into me. The remainder is similar to a CT but takes a lot longer.

Richard

Retired USAF Richard & Debbie on The Shores of Toledo Bend Lake Louisiana

Biospy 1/10/08 Gleason 10, Stage T1C 8 of 12 samples positive all Less Than 5%

U of Florida Proton Therapy Institute

5/2/2008 LUPRON & Casodex

IMRT to start 5/16/2008 for approx 4 weeks with Proton to follow for approx 4 weeks

Turn Stumbling Blocks into Steping Stones and Keep Smiling

Our Journey is on WWW.GLEASON10.COM

ktp812

Veteran Member

Joined : Jul 2007

Posts : 720

Posted 6/3/2008 4:41 AM (GMT -7)

My husband had the scan done last month to see if he should have radiation treatment. His PSA had been slowly rising since his surgery in 2001. You first have to have an injection and then they do the scan 4 days later. It took 3 hours for my husbands scan. It also shows if there is possible metastic involvement. On my husbands it did show minor activity in the prostrate bed which is what we suspected but everything else was clear. So he will be starting radiation next month. It was a relief to know it hadn't gone anyplace else. For us it comfirmed the fact that he indeed does need to have radiation treatment. Good luck and we felt it was a valuable test for him to have had done.

Bob & Wife

Regular Member

Joined : Apr 2008

Posts : 100

Posted 6/3/2008 7:32 AM (GMT -7)

ktp812

Thanks for the reply, and I agree that just getting some kind of confirmation that the cancer has not spread anywhere else would put our minds at rest. We are learning a great deal of patience through this whole process, nothing happens fast. We just want to know where we are headed. Glad to hear the scan helped put your mind at ease. Good luck and thanks again for your input.

Bob's Wife

Age 59 at diagnosis

PSA 1.7 Nodule felt. Biopsy 4+4 T2B

1-30-06 Surgery, Infiltrating adenocarcinoma.Nodes & margins clear

Post op Gleason 7 T2c 4+3 PSA .04

12-07 PSA jump .14 (11 Months)

12-07 Nodule felt - biopsy negative

PSA .16

PSA .17

4-3-08 PSA .32 ouch

4-15-08 Nodule size increased.

5-8-08 PSA still .32

5-15-08 Bone scan clean, nodule size increased. Biopsy scheduled for 5-22-08

5-30-08 Biopsy came back cancerous. Next step consultation with oncology 6-5-08 for further scans & test. Pain in hips and lower back for three months now.

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