Second scan ?

You messaged me in a different chat yesterday

Is a bone scan or a CT scan a normal part of the process of identifying the extent of the pc

I have had the initial MRI and the biopsy but should I expect or request a further scan prior to agreeing to move forward with surgery

I would like to be reassured that if I’m having surgery then it’s only present in the prostate 

Hi Steve

You messaged me in a different chat yesterday

MDT suggested surgery but also RT or brachytherapy

I feel as they were guiding me way from AS

Edging towards surgery but I need to be confident that there is nothing else going on that would benefit from RT

-----------------

Hi Steve - 

I was diagnosed on 4th December 2023 with PCa, Gleason 7 (4+3), T2A, N0, M0 (or should that be X) ... I was told I HAD to have a PSMA PET scan --- as I was 4+3.  In fact, I had both a PSMA PET CT - AND - a PSMA PET MRI as part of a comparative clinical trial.  I was grateful for these - no question - but also fearful as it would remove options - and there were only two at diagnosis for me - RP or HT/RT.   (Blessedly the scans were all clear and there were - even in the prostate - 'no additional findings')  I was told if I had been Gleason 7 (3+4) or lower I WOULDN'T NEED THE SCANS - AND THAT THEY WOULDN'T EVEN HAVE BEEN MENTIONED/DISCUSSED.  I think it depends on the procedures employed in the different hospitals in the UK, i.e., all down to the established protocols of each.  You can, of course, always ask.  

I was also told my a CNS nurse when being handed my information at the time of diagnosis that I should be '90% decided' by the time of the 'information meeting' with the surgeon and oncologist.  I came dutifully prepared for that but then was flummoxed when LDR Brachytherapy was ALSO suddenly thrown into the mix - when it had NEVER been mentioned before as a possibility for me.  

As I'm finding ... PCa is a very 'movable feast'.