Zufus is correct. Prostascint scans are designed to pick up large tumors and your psa has to be in the 40s for tumors that large to appear outside the prostate. A much better scan is the Cambidex, which is only give in Holland, but again with a low psa and low tumor volume you would be wasting your money, and it would be your own.
If you really want to get more useful information about
your PC I would recommend 1st a Color Doppler Ultrasound or 2nd and MRIS. These will at least tell you if you have extra capsular extension, and if the tumor is close to anything that may be hurt by surgery, or in a spot that has a high probability of a positive margin. Also a PAP test and a PCA3 test and even a plodiy. All of these will add to your information base. These later tests may indicate degree of agressiveness. Unless your psa is in the 20s the scans generally offered by most doctors are pretty useless.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.