After meeting with an oncologist a few months ago she recommended a second bone scan to rule out METS that was still unclear from the first bone scan.
The previous bone scan was abnormal - but no one would for sure say if it was mets or not. They did an Xray and then decided to rule it out at that point. Oncology said another needed to be repeated in order to determine whether or not radiation was an option.
Now-- this bone scan is even more confusing. It says "Abnormal Whole Body Bone Scan". There are several places in the ribs, the left hip and L4 that are "worrisome" for mets according to the report.
The doctor left the room and went to find the radiologist who read the first report during our appointment. Radiologist said they cannot rule out mets but given the spots on the ribs they are in more of an "unlikely" spot. The hot spots are on the outside of the rib which are more likely due to trauma verses mets. However, they didn't appear on the last bone scan??
The spots that showed up before on the ribs had less "tracer intensity" compared to the first scan.
In summary, the doctor said he "didnt know how to process this information". It wouldn't make sense that the Lupron would get rid of two spots but now see 5 new spots. He said it could be arthritis that didnt appear on the last scan...?
He's going to consult with the oncologist and then possibly do an MRI of the hip - which is where there is some pain. He said if there is a lesion on the hip due to mets he should be able to see it. He said thats why they did Xrays of the ribs -- and no lesions appeared.
Has anyone else had conflicting bone scan results?
They are also rechecking the PSA -- previously it was .03 in July. Hopefully it is still undetectable .... should know the results sometime today...
Very worried... nothing ever seems constant with this PCa -- everytime you have a victory there is another hurdle!