PSMA PET scan

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Not sure if anyone can help with this, but My husband and I have been wondering if a PSMA Pet scan ought to be considered by his consultant. He’s T3b Gleason 9 (4+5) Bone and CT scans don’t currently show any metastatic spread, so currently N0 M0, but with Gleason 9 and T3b you can’t help but be concerned what could be lurking, however small. Has anyone had one of these scans and if so was it beneficial. 

Does anyone know how often this type of scan is offered by the NHS, and at what stage of treatment. 

  • Hi  good question.  The general feeling is that if PCa is spreading it is first detected in the blood (PSA).  Sadly until the spread has sufficiently multiplied, even a PET PSMA can’t find them.  What is his PSA reading for the last 3 readings?

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Hello  

    I've had one - but my cancer is a biochemical relapse and we still couldn't find where the cancer is lurking. I am a T3aNoMo with potential lymph node involvement (these have been zapped by radiotherapy).

    If the Bone and CT scan are clear, it's highly unlikely you will get a PSMA-PET scan and the one word preventing this is COST (£2750 - £3000 per scan). 

    The scan is quite often offered - Post surgery with a PSA of +0.2,  After Radiotherapy with a rise of +2, High risk Gleason 9/10 with a PSA of +20 when spread shown on MRI + Bone Scan and Biochemical recurrence.

    There's no cost to you in asking!

    Best wishes - Brian.

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