Hello everyone, my scan is shown below which I don't fully understand. My PSA had gone from <0.4 to 1.4 in 4 months.
\There is persistent GA-68 PSMA avidity in the prostate gland extending into the right seminal vesicle. The extension into the seminal vesicle seems more today than previously. There is a new small avid proximal right common iliac node SUVmax 30.5. There are multiple small distal paraaortic n aorto caval nodes e.g. posterior aorto caval node in front of L3/L4 disc space SUVmax 9.3. There are no further GA-68 PSMA avid retroperitoneal lymph nodes.
The hepatic distribution of GA-68 PSMA is unremarkable.
There are no GA-68 PSMA avid lung nodules. There are no GA-68 PSMA avid hilar or avid mediastinal lymph nodes. Small new avid node left of the left Thyroid SUVmax 4.4.
There is a new intensely avid L4 vertebral body lesion.There is a new avid small lesion in the left sacrum, adjacent to the upper left SIJ. Right iliac mestasis SUVmax 108 today, previously 150. There are no other GA-68 PSMA avid skeletal deposits. The distribution of GA-68 PSMA elsewhere is physiological.
I will start Docetaxyl in 3 weeks time to have 10 cycles every 3 weeks. Options running out!
Thanks Ido4. I've not had any pain before but that's is going to change now I presume. I have looked at the average life expectancy extension given by Docetaxel and it's only 0.89 months! Hopefully that includes old data and older gentlemen. I am now looking to retire when I am 55 in June as the "tools" are running out!
