My recent PCa history is that on the 22nd Feb my urologist did a DRE and found no chance since the previous one 12 months ago. My PSA spiked to 7 at this time but dropped to 5.5 by March 8th.
Original biopsy in Feb 2018 of Gleeson 3+3 6 - Low to intermediate risk T2a left. Confined.
I have had no symptoms whatsoever.
At the end of last year I started getting sciatica and have been to see a chiropractor who has managed to help however the problem is still there.
My GP therefore sent me for an MRI scan on 7th June and I went to see him yesterday as he had received the radiologists report.
Various things going on with my spine which I am to be referred to a physiotherapist to hopefully deal with.
There was however one more thing. To quote the report
"A small focus of low T1 and T2 signal in the right iliac bone is likely to be sclerotic, the differential diagnosis for which includes metastatic prostate cancer"
"Impression Probable/possible metastatis in right bone"
I am due to have a mpMRI on Saturday anyway and my GP told me to ask the MRI team to cover the pelvis with this scan. He is also going to book me in for a bone scan. Today I am having a PSA and Calcium blood test.
My GP did try and reassure me that taking into account my recent history of low PSA and no change in DRE result that the likelihood is that the what the MRI picked up is not cancer. He said it could it possibly be some arthritis (there is some in the my spine) or that it could be an error in the scanning process.
Since my appointment I have been doing some research risks of spread of PCa to the bones and have discovered from various research studies that the chance of having bone metastasis with a PSA level under 10 is extremely remote.
Obviously I'll have a better idea of what's going on after my mpMRI scan and also the bone scan. It would be useful and very much appreciated if someone can perhaps advise on this concern though
A little background information.
Three months ago my wife (she's 51) was diagnosed with breast cancer. She's had a lumpectomy and 15 lymph nodes removed. She's now on Tamoxifen with radiotherapy starting in 5 weeks.
What now with my latest scare it really is grinding me and us down as it seems that our lives are consumed with hospital and doctor visits and treatment. I know we are lucky that we have such a wonderful health service to deal with these matters but you do start to wonder when the bad news will end and you can get on with a normal life.
Edited by member 18 Jun 2019 at 11:15
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