Hi, I was diagnosed, age 58, with locally advanced prostate cancer in 2018. (I had asked 3 GPs when I was 55 for a PSA test and they all told me I was still too young) - Gleason Score 7 (4+3), PSA 8.14ng/ml. I had 20 sessions of RT to the prostate bed. My PSA then fell to 1.15ng/ml. PSA then continued to rise in April 2019 to 6.05ng/ml. I then had hormone therapy, (bicalutamide), and my PSA dropped to 0.77ng/ml. At this point, my consultant suggested I stop taking the bicalutamide to see if the PSA would rise again. In December 2020 my PSA had risen to 8.47ng/ml. I then went to the London Clinic for a Gallium68 PET Scan. The scan detected pelvic lymph node disease. I then had another 20 sessions of RT to the pelvic lymph nodes and my PSA dropped to 0.56ng/ml. I continued to take bicalutamide but my PSA continued to rise. In December 2021 I stopped taking bicalutamide and started Decapeptyl - 3 monthly injections. My PSA then started to rise again, 0.56, 0.75, 1.72, 2.70ng/ml. I recently had a further CT scan and bone scan and nothing has shown up. My consultant has now recommended another Gallium68 Pet Scan. The consultant has said today that the cancer is castration resistant and something is going on somewhere. Is there anything else I should be pushing for? The current cost of a Gallium68 Pet Scan at the London Clinic is £3000. Is there anywhere else that you can have the same scan in the UK?
Thanks