I'm scheduled for an MRI tomorrow morning to find out what is causing my severe neck and shoulder pain, which has now lasted nearly 3 weeks, an which has progressed to the point that I cannot raise my right arm higher than my shoulder, or even use the arm to pass a dish at dinner.
I'm assuming that a disc problem is causing nerve compression, and not that many months ago I would have felt sure of that. Now, however, having been treated for prostate cancer, the worry keeps creeping in that this could be metastasis to the cervical spine. My family doc says that can't be, given my recent bone scan, my PSA score prior to surgery, and so forth, but I just can't avoid the worry about PCa.
Surely the cancer was developing in the prostate for years before the biopsy discovered it. Could it have been shedding cells during that time? Even though the post-op pathology and the pre-surgery bone scan give reason to believe this can't possibly be metastasis, I have to confess I'm nervous.
Has anyone ever known of someone with stats like those shown in my signature below who nevertheless developed mets shortly after the surgery? The bone scan would have had to miss something, but it wouldn't require a very large tumor to cause problems in the cervical spine, where the channel for nerves is rather small.
I should have a definitive answer soon, but thought I'd post this and see what thoughts some of you more knowledgeable guys might share. Thanks, Bill
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays all negative.
DaVinci surgery late August at Advocate Condell, Libertyville IL
Negative margins; negative seminal vesicles
Continence OK after 7 weeks. ED continues
Post Edited (clocknut) : 12/2/2010 5:04:13 PM (GMT-7)