Posted 10/29/2014 8:28 AM (GMT 0)
Based on the info in your signature, a bone scan should be adequate to give you the info you need for now. The question to ask is what would you be doing differently if they used a more sensitive scan? With PSA that high and extensive mets, I think there's little to be learned that might make any difference. One exception might be an FDG PET scan, which can be used to track the shift in the cancer from fat-metabolic to glucose-metabolic, so a baseline may become useful eventually.
When you read about others using novel PET scans, it's usually because they are trying to find and possibly treat just a few mets, and their PSA is too low and their mets too small to be revealed by a normal bone scan. That is not your husband's case.
The really exciting thing is that the ADT is working so well so far. He seems to be a perfect candidate for early Taxotere therapy, and I hope that is something you and his doctors are discussing. De-bulking the cancer in the prostate with radiation may improve survival too.
Whenever I see such virulent cancer in a man so young, I wonder whether he has been diagnosed with one of the rare PC types (e.g., neuroendocrine, ductal, giant cell, etc.).
- Allen