Posted 7/25/2017 9:25 PM (GMT 0)
Hi all,
I have an appointment for my second PSMA PETCT on 2nd August .In August last year I had PSMAPETCT in Munich,Germany.2 suspicious locations were found(prostate bed spot and L3)which later MRIs proved not to be mets.This time I Will be in KOLN for the PETCT.
Unfortunately I did 2 MRI last week(lumbar&pelvis) which showed a new 13mm met in Iliac pelvic bone.this appeared so quickly as it was not there in January 2017 MRI when PSA was <0.003. My PSA started to rise quickly from March 2017 and now it is 0.651(PSADT~a month).I was in ADT VACATION...... In the former 2 suspicious location in 2016....no mets found!
I actually need your insights:shall I go for the PSMA PETCT to see if there are other mets?shall I deal with this met with cyberknife and then see what happens? Shall I go back immediately to ADT and follow the normal protocol for this aggressive cancer, that is, till ADT stops working?
In KOLN university they also do Lu-177 PSMA therapy.That might be an option to consider also.TA and George posted about this before but I am not sure if this therapy is for all cancer stages!
All the best to all!