Just wanted to comment on what one of the posters said above (i.e., why perform a bone scan if the biopsy does not show any metastases)? To the best of my knowledge, a biopsy only helps to project the Gleason score and stage of cancer based on the cancer found in the test samples taken of the prostate--it does not reveal whether or not the cancer has spread beyond the prostate (i.e., metastases). If the Gleason score is lower (usually 6 or under) is it generally assumed that the cancer has not escaped beyond the prostate. If the Gleason score is higher than 6, there is a greater chance that the cancer has spread beyond the prostate. However, having a bone scan and endorectal MRI are important tests to help determine the stage of cancer. Many urologists do not have these supplemental tests performed and it could be a big mistake. PCa patients should question why these tests are not being performed. It is true that both of these tests do not have 100% reliability, but they are nevertheless important diagnostic tests to supplement the biopsy. My urologist, who directs the prostate center at a major hospital, asked me to take both tests and I am glad that I did. It gave me a greater comfort level as to my stage of cancer which helped in my treatment decision.
Good luck to you Elpaso!
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.
First PSA test to be taken 7/07.
Post Edited (pcdave) : 7/22/2007 11:19:07 PM (GMT-6)