MRi Scan two lesions in prostate

Just rang my clinical worker specialist prostate nurse if I hadn't heard from them in two weeks, answer phone saying they only reply Tuesday to Friday so she might reply today you never know ,so the wait probably continues until next Tuesday unless I get a appointment send to the nhs app to go in to see them ,which I doubt. 

Hope you are all well

Peter

Morning all

Clinical prostate nurse got back to my answer phone message yesterday and good news no cancer in bones found in pet scan ,urology team were having a meeting yesterday afternoon with me being one of the topics about drawing up a plan for me ,

So a huge sigh of relief 

Best wishes 

Peter

That's great Peter, I hope whatever course of treatment you go for is successful 

Thanks Stew 

Been doing a lot of reading on treatments ,I'm favouring the hormone beam radiotherapy for me but who knows hopefully get the ball rolling with meeting the urology team soon getting a phone call Monday with there plan for me .

Thanks 

Peter 

Hello Peter ( Psb2024).

Well thats great news. Just In time for a relaxing weekend.

Treatment plan Monday and off you go! Happy days.

Best wishes - Brian.

Thanks Brian  Will the treament plan involve meeting surgeons and the oncology team ? to help me decide the best treament for me .

Thanks 

Peter

Good Morning Peter (Psb2024 )

Yes, if they are both suitable treatments you should be offered meetings with both so they can plead their case.

Keep us posted on Monday’s meeting.

Best wishes - Brian.

Good morning  Brian 

I'll definitely will keep everyone up dated as I'll definitely need the amazing advice from the amazing people on here which is very much appreciated. 

Best wishes 

Peter

Hi all, this is the conclusion on my pet scan report 

Can anyone tell me if the 'more than likely' term is normal practice with the S1 and S2 vertebral doesn’t feel me with confidence ?  Has made a little anxious.  Also the part that talks about an isolated malignant node.

Conclusion:
Intense PSMA uptake corresponding to the signal abnormalities on MRI within the posterior aspect of the prostate consistent
with primary prostate cancer.
Additional areas of increased uptake in the prostate may represent additional sites of primary prostate cancer.
PSMA avid 7 mm nodule abutting the anterior surface of the right psoas.

An isolated malignant node should be considered although appearances are not diagnostic for this.

No malignant appearing nodal disease elsewhere.
Focus of mild PSMA uptake at the articulation of the S1 and S2 vertebral bodies is more likely to be benign/inflammatory.

No PSMA avid bone metastases elsewhere.
Mild increased PSMA uptake within the tail of the prostate is likely nonspecific and could be further evaluated with CT protocol
of the pancreas if required.
Numerous mildly PSMA avid subcutaneous lipomas
Prostate SMDT 29/11/2024 outcome:PSMA PET reviewed., no evidence of prostate cancer mets. 7mm avid lesion anterior to
right psoas muscle is indeterminate (separate
to ureter). As there are no other sites of mets, assume that psoas lesion is unrelated to prostate cancer and proceed with radical
treatment. Send ITR to SMDT clinic MP75D. cpg4.
Investigation results
Lab results

Nurse has said no cancer in bones and now waiting on appointment for surgeons and oncology.

thanks Peter

Hello Peter. Well that looks pretty good. What you need to know is that the PSMA PET scan can pick up both benign and malignant changes throughout the body. To give you an idea of the extent I have attached notes from a conference but it does explain the difficulty with interpreting bone uptake. The avid lesion by the psoas muscle has been viewed in relation to the other findings and in probability is not related to prostate cancer. We are not medically trained so check with the experts when you see them.

https://www.urotoday.com/video-lectures/psma-ucsf-ucla-2024/video/3834-distinguishing-true-and-false-positives-on-psma-pet-scans-presentation-courtney-lawhn-heath.html