Thanks Special Lady,
Here is my understanding regarding the mets stage - the reactive change to the medical oncology treatment was in the lymph gland - nothing else changed from scan to scan. This indicates to them that is where the cancer is - (hopefully) it is what is called a focal or local mets at this point.
Now this does not rule out microscopic spread but does look like I am not at the systemic mets stage yet, thus the treatment approach and use of the cyberknife.
I am well aware of Dr. Kwon and Mayo and the C-11 pet scan but that actually requires a psa over 1.0 to be able to be utilized. My psa has dropped from 2.0 to 0.2.askdrbarken.wordpress.com/2011/12/25/c-11-choline-petct-scan-dr-eugene-kwon-mayo-clinic/
And as Dr. Kwon has also stated, this cancer can change due to treatments.
I have a lot of confidence in the team treating me in Boston and I feel sure they will be doing additional tests, etc. We are just in the beginning stages of this new approach, which caught me by surprise as I was told back in the Spring that all indications were medical oncology going forward.
Age 63, dx age 60, PSA 2.9 ; detected by dre
Stage t3b Gleason 7 (4 +3) tertiary pattern 5
11/09 Post-prostatectomy path: extensive extra-prostatic growth 60% tumor both lobes; perinural + l seminal vesicle and lympho-vascular tumor invasion; Lymph nodes:14 right obturator; 9 left pelvic (no regional lymph node metastasis)
10/11 adjuvant IGRT radiation 8 weeks
4/10/12 psa rise from 0.3;0.5;0.9 indicated ineffectiveness of SRT – on to medical oncology
5/30/12 negative bone scan; ct scan showing enlarged adrenal gland and 1 pelvic lymph node "involvement"...
6/5/12 initial meet with med oncologist began daily use of pomegranate extract; need baseline psa w/same protocols
6/5/12 psa rising to 1.5…then again on 7/10/12 psa 2.0
7/17/12 doc confirmed diagnoses of “aggressive metastatic” pc;
Prescribed 50mg Casodex (Bicalutamide) for 6-7 weeks + pomegranate extract before new psa blood test + ctscan
9/4/12 ctscan and psa blood tests first since casodex treatment began
9/11/12 results indicate psa drop from 2.0 to 0.2; ctscan shows significant improvement in lymph gland...to continue same regimen for next 90 days.
9/27/12 radiation team at hospital indicates they can treat my lymph gland with the cyberknife[url]