Bone scan for Gleason 7 4&3, psa 13, t2c with risk of t3a

I wish you well with this. Obviously we are all different but if it helps to reassure you, I have very recently found out I’m Gleason 7 (4+3), T3b. My initial psa was 179 and my bone scan was clear. And before the scan I had aches and pains all over, but I do have arthritis. I am very hopeful that your Dad’s scan is just precautionary and part of the necessary monitoring process.

Hi CD 

Hopefully bone scan clear, probably will be as they can't be sure if broken through.

So potentially all treatment options still available although once broken through even if Just on the edge T3a I always feel RT and HT best option but obviously just my opinion.

So good luck with bone scan results and let's see what they say about treatment options 

Best wishes 

Steve 

Hello Concerned daughter

I add the same proviso that we are all different and I am not an urology specialist. That said, my husband was T3a Gleason 4+3 PSA 10. Like you, we were scared silly about the need for a bone scan. We almost didn’t want to know any more bad news! 

what I now understand is that prostate cancer does spread to the bones,’ Whether or not it has spread determines what treatment is necessary and best. My husband’s bone scan was clear.

All these tests really do test our nerves and resilience but it is better that the medical team have as full a picture as possible about what you are all up against so the right treatment choice is chosen.

You are going through the worst part of this journey but are nearing the end of this part. Once treatment is determined, things do settle down and a new normal life begins. Prostate cancer is, for most of us, a marathon and not a sprint. We learn that life does go on and can still be enjoyed. Hang on in there - we are all with you and your Dad on this journey and hoping for the best outcome for you both x

Hi Concerneddaughter13fd2e84 , a bone scan at this stage is routine and I would have been surprised if they hadn’t included one.  There really is nothing to indicate a spread in your dad’s case but if it were found would change the options available.  Try not to overthink it (easy for me to say) and keep positive.  Please let us know how he gets on.

Yes it Is all very worrying but go with the flow ,bone scans are normal and will give you an accurate picture hopefully clear of spread then you can get treatment which from every hope of seeing it cured. Hang in there its a bit of a ride but there is much hope, I was gleason 9 T3b, treatment is over and PSA now just 0.09

I'm guessing my Gleason Score will about the same as your dad. My PSA was 12.1.  Bone scan done on the same day as biopsy and it came back Clear. Got it on a Friday and result was given over the phone on the Monday. Very quick.. 

Dad had bone scan today - fairly straightforward, after the 2 hour wait after the NM injection the scan only took 20 mins  but said could be another 2 weeks for results.  really nervous it’s going to show something and ruin the curative treatment plan.  The waiting is a killer 

I was T3a , Gleason 7 (3+4) PSA 12 and 16/19 positive biopsy samples and was very worried about the bone scan result - but they said beforehand that metastatis was unlikely even with those numbers. They were right and my bone scan was clear. I had radiotherapy and am on ADT hormone therapy for 3 years. Apart from hot flushes, I'm fine and feel perfectly well, two years on from that PSA test. 

Thank you for sharing your story - it’s gave me some comfort that we will hopefully have the same result.  Wishing you all the best

T3a, higher Gleason and higher PSA with lymph node spread here and my bone scan also came back clear. Like the biopsy it’s one of those tests which causes the most worry but it is an essential part of the diagnosis. I was started on Cyproterone to get the PCa ready for Zoladex the same day as the scan, surgery had already been ruled out. It did take some days before I was told the results, that was when I had the first Zoladex jab. Fingers solidly crossed for a good result for him too.