Ptc no m0 yet in ribs

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I have signs of cancer in my ribs yet the last letter states ptc n0 m0 grading. Has anyone else come across this.  Does this mean to be confirmed

I have started chemo and I've just had second cycle of docetaxel. So I'm confused.

Surely it should be t4 n0 m1 or am I missing something. Is this stating it's to be confirmed?

  • Young man

    What makes u say that it has spread to the ribs, have u been told that?

    Steve

  • I had a pet psma scan which showed markers on the ribs. Nowhere else in the body.  I'm currently receiving chemotherapy, because there were no signs of it in prostrate bed then radiotherapy not applicable.

    Was wondering if it meant to e confirmed?

    Regards John 

  • John

    I think that markers on the ribs from the Pet scan doesn't necessarily mean that the cancer has spread to the ribs, previous traumas can cause this as well, could be worth asking the specialist though, perhaps others will post.

    Steve

  • FormerMember
    FormerMember in reply to Grundo

    Yes it is confusing.

    "Markers" if this was said to you, it should have been explained.  I'm not even sure that the scan report would actually say that

    As said, just because there's something there, doesn't mean its metastases.  M0 as you know means no metastases.

    I guess you had surgery, as you mention prostate bed.  T4 isn't appropriate as you no longer have a primary tumour.  "PTC" might refer to he primary tumour cancer.

    You will have to ask for an explanation.  Presumably you have PSA levels, why are you having chemo?

  • Indeed, just not aware of previous trauma and also more than one spot different places, there is not other explanation for raised psa after prostatectomy. Hopefully small enough for chemo to knock out. They weren't large.

    Hormone and chemo for the time being though.

    John

  • I'm on chemo due to the ribs and elevated psa. Given my age (50) the consultant advised there was good evidence that early chemo helped alleviate longer term impacts. Also he stated that often chemo cannot get to the centre of the mass so hopefully due to small size chemo can attack more of it. 

    He's hopeful that given chemo and hormone it can be managed for longer

    Indeed I need to ask at next appointment 

    John 

  • FormerMember
    FormerMember in reply to YoungMan

    Hi john

    My dad, although considerably older at 77, is exactly the same.  Originally thought contained in the prostate but further scans, showed 7 suspicious areas in ribs.  It was confirmed as cancer but thankfully only 3 spots!  He is in the middle of docetaxel chemo, will have a few weeks rest then have radiotherapy to the prostate bed. Fingers crossed for a positive outcome.

    Robbo