Very concearned after Bone scan

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stevehuberoilers1978
New Member


Date Joined Dec 2009
Total Posts : 4
   Posted 12/7/2009 2:34 PM (GMT -6)   

Recently my dad was diagnosed with PCa. He is 57 and his Psa was 5.9 and Gleason score of 7 (3+4). He is asymptomatic and has no bone pain. In considering Brachytherapy the cancer clinic recommended a bone scan.  During the scan the radiographer must have saw something as she asked him to go and wash his pelvic area( I am assuming possible contamination). She then proceeded to take pictures to the radiologist from there she went on to take another set of pictures as well as a side view. The scans were taken last week (Wednesday) and we are waiting in agony for  the results and even more concerned due to the radiographer's actions. We have called the clinic and they said results could be here today or week from today.  My question is what length of time does it take to get results?  If Mets would have been detected would the radiologist ensure we are called call immediately? I understand mets with his numbers is unlikely but could it be mets from another undiagnosed cancer?.   Thanks Anxiously waiting any thoughts!!!!


Rolerbe
Regular Member


Date Joined Dec 2008
Total Posts : 235
   Posted 12/7/2009 2:42 PM (GMT -6)   
Try not to read too much into it. But, I'd call again in a few days and pin them down on when the results might be available.
51 YO
PSA at Dx: 8.2
DaVinci RALP: 10/31/08 -- Great MD in New Haven, CT
Negative margins, no extra-capsular involvement
One nerve spared
PSA at 0 for just over a year now.
 
 


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 662
   Posted 12/7/2009 4:17 PM (GMT -6)   

At age 57 with a 5.9 psa I would almost think it would be next to improbable to have a skeletal lesion. However as would be the correct advice keep on calling tell you get the results.   Good Luck.

 


Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/7/2009 4:25 PM (GMT -6)   
I agree with the others, with the known specs of your dad, not real likely to show up any thing on the scan, and the waiting part sucks for all of us. I hope he will be ok, and you should know the results soon and be able to breathe a sigh of relief.

Please keep us posted.

David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 12/7/2009 5:44 PM (GMT -6)   
I had a bone scan and it showed a "hot spot" near my shoulder blade. The surgeon put his hand over the spot and asked if there was any reason for it - had I injured myself or bumped into anything? I had been shooting a couple of days before the scan and that was where the rifle contacted my shoulder. They redid the scan about a week later and the hot spot was gone. (Darn squirrels).
At University of Rochester the scans are read the same day. Results are on line and available to the surgeon by 3 PM the next day. They usually tell the patient that it will take about week.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7 Tumor size: 2.5 x 1.8 cm location: both lobes and apex. No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Extraprostatic extension present; Perineural invasion: present, extensive
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 10/31 3 months, Still no activity, nada, zip
Incontinence - 8/20 4 full pads per day
. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
9/27 2 months: Still 3 pads per day.
11/14 4 month: Still 3 pads per day. 420ml/day, 91 um leak. At this rate I'll be fine in 2012.
Post Surgery PSA - 9/3 6 weeks- 0.05, 10/13 3 months- 0.04 undetectable.


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2222
   Posted 12/7/2009 6:01 PM (GMT -6)   
I agree with Rolerbe and would try not to read too much into what happened. My scan showed a couple of spots but they quickly ruled out cancer. The hard part is in the waiting and hope you find some peace of mind until then. Your father's stats dont appear to be to bad. Take care.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 12/7/2009 8:29 PM (GMT -6)   
Steve, I'm sorry you and your family are going through this. As others have said, try not to worry (too much). The fact that the radiation technician asked your dad to wash his pelvic area could be something as simple as an unclear view. As a woman, when I have my annual mammogram, I am always told "no deodorant, powder, or lotion" because it can interfere with a clear picture. Any injury to bone will show up on a bone scan. We had a scare with my husband and a CT scan of the area was ordered to confirm whether there was anything there. As it turned out, there was something there - the doctor called it "oldness."
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 12/8/2009 11:36 AM (GMT -6)   
Very frightening, but with a high probability of not being interesting. Given your dad's stats any finding would be unlikely. Also the scan does pick up lots of things that are not cancer. When they did mine the technician asked if I hajd any pain in my left shoulder -- starting just that minute I did and the pain lasted until the scan came back clean a week later.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


ChrisR
Veteran Member


Date Joined Apr 2008
Total Posts : 825
   Posted 12/8/2009 7:40 PM (GMT -6)   
Most Dr. won't even do a bone scan for PSA under 10, unless there is a symptoms.  Waste of money.  I can't believe they did one.  If the same clinic did the scan that also does brachytherapy it sounds like they are just generating income.   You've been scammed in my opinion.



Dx 42
Gleason 6 (tertiary score 0)
OPEN RP 10/08  Johns Hopkins
pT2 Organ confined Gleason 6
PSA Undetectable as of 10/15/09
Next PSA 10/15/2010

Post Edited (ChrisR) : 12/8/2009 6:43:48 PM (GMT-7)


kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 12/8/2009 9:14 PM (GMT -6)   
I also had a hot spot on a rib in my scan. A chest pannel with many different view cleared that up. I think sometimes the Dr's order these test to cover their behinds. With insurance I think it is a good idea. If you had to pay out of pocket I would pass on it.
Good Luck,
KW
    43 at Dx and Surgery (RRP)
    PSA 5.7, Biopsy 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
    RRP on Oct. 17, 2006 - Nerves on right side saved. All Lab's clear. 
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
     Dec. 2006 – Oct. 2008 Cystoscope, Two Collagen injections,Second Opinion   
    Consultation for Incontinance at OU Medical Center, Bio-Feedback       
    training, Chiropractic, Accupuncture , AdVance Male Sling, Two More Collagen 
    injections, AUS Installed and Activated (Dr. Morey at UT Southwestern Dallas TX)
    All to try to resolve incontinence (using 6-8 Depends Guards a day)

    To Date All PSA's 0.00.

   http://www.healingwell.com/community/default.aspx?f=35&m=721171

    http://www.healingwell.com/community/default.aspx?f=35&m=978691


STW
Regular Member


Date Joined Jun 2009
Total Posts : 292
   Posted 12/9/2009 11:03 AM (GMT -6)   
I must be at the other end of the spectrum for time. I finished with my bone scan, walked across the street, and got the results from my doctor along with a referral to a radiation oncologist so I could explore that option. My wait couldn't have been half an hour.
Diagnosed at 54
PSA 8.7 Biopsy 1/7/09
4 of 6 cores positive, one at 90%
Gleason 3+4=7 Neg bone scan 1/15/09
One shot Lupron Depot 1/27/09 Tax Season
RP 4/29/09
Neg lymph nodes, postive seminal vesicle, 1 positive margin
Gleason 3+4=7 with tertiary 5
Catheter out at 2 weeks no nighttime incontinence Pad free week 5
PSA 6/6/09 <0.1 PSA 9/10/09 <0.1


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/9/2009 2:02 PM (GMT -6)   
My uro ordered the scans for me because my psa was above 12 and rising. It didnt find anything PC related, nor was it expected to, but it did find a "hot spot" on the lower end of my left lung. That kept me fearful for a good 6 months, until the time was right, and a seperate set of scans just on the lung showed that is only a benign speck of scar tissue, they said perhaps from something toxic I may have breathed in at some point in my life. It was sure a big relief at the time.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place


Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 12/9/2009 7:21 PM (GMT -6)   
I think your Dad should be working through his primary care physician - and you should not be freelancing . . . unless you've provided the hospital/clinic/laboratory with a power of attorney for health care executed by your Dad. Tests sometimes, oftentimes take a while to review if the medical center doesn't have sufficient on-site staff. I suspect that if the news was bad you would have heard by now. Best of luck to your Dad.

Age:  60 (58 at diagnosis - June, 2008)

April '08 PSA 4.8 ("free PSA" 7.9), up from 3.5 year prior

June '08 had biopsy, 2 days later told results positive but in less than 1% of sample

Gleason's 3+3=6

Developed sepsis 2 days post-biopsy, seriously ill in hospital for 3 days

Dr. recommended robotic removal using da Vinci

Surgery 9/10/08

Northwestern Memorial Hospital, Chicago, IL

Dr. Robert Nadler, Urologist/Surgeon

Post-op Gleason's:  3+3, Tertiary 4

Margins:  Free

Bladder & Urethral:  Free

Seminal vesicles:  Not involved

Lymphatic/Vascular Invasion:  Not involved

Tumor:  T2c; Location:  Bilateral; Volume:  20%

Catheter:  Removed 12-days after surgery

Incontinent:  Yes (1/2 light pads per day)

Combination of Cialis and MUSE (alprostadil) three times weekly started 9-27-08

Returned to work 9-29-08 (18-19 days post-op)

PSA test result, post-op, 10/08: 0.0; 12/08: 0.0; 4/09: 0.0; 9/09: 0.0

 


stevehuberoilers1978
New Member


Date Joined Dec 2009
Total Posts : 4
   Posted 12/10/2009 3:17 PM (GMT -6)   
I just wanted to pass on my sincere thank you’s to all that posted. Dad’s bone scan came back clear and unbelievably we are so relieved that he “only” has Prostate cancer. Your encouraging comments and stories were enormously helpful in waiting for the bone scan results. It is very difficult for others who have not felt the agony of waiting to appreciate the magnitude of the stress. Your comments helped to relieve some of that stress to which I am eternally grateful…

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/10/2009 3:42 PM (GMT -6)   
steve,

that's good news on your dad's bone scan. dealing with his prostate cancer will be enough for you all to deal with on its own. please keep us posted on his journey, and don't hesitate to ask as many questions as you want or need. no such thing as a dumb or silly question here at HW. what might be obvious to one reader, won't be to another.

hoping you and your dad worth through this fine.

sincerely,


david in sc
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys ,cath #8 33 days, Cath #9 in 35 days, 12/7/9 - Cath #10 in place

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