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Bone scan advice

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User
Posted 18 Sep 2025 at 11:48

Hi

 I am new on here, i have had urination problems. PSA 6.8 urology advised antibiotics for prostititis. Still had the same problems after 6 weeks antibiotics and PSA shot up to 20.2 after 3 months from 6.8.

I was sent for prostate MRI scan which come back.and phoned to go for a biopsy, consultant showed me scan and said suggests t3a.

Biopsy done same day. 

He also said that there were a couple of bone lesions that were not on a previous ct scan 5 years ago for an unrelated issue. 

I was told to go for a bone scan, i attended and was told i will have the scan then to wait to see if i need any other xrays or scans straight after. The operative did the bone scan and told me to wait to see if i need any other xrays, scans. He came back about 10 minutes later and said they have everything they need and i dont need any more scans.

My question is why would i need more scans after bone scan. Can the operative tell if i have bone mets straight away?

Just not sure why i might have needed more scans, been a wirlwind couple of weeks.

Waiting for results now

 

 

 

 

User
Posted 18 Sep 2025 at 20:13

Thanks Chris

I hope you doing well.

User
Posted 18 Sep 2025 at 22:39

Hi Dean,

I'm sorry that you're having prostate problems and you've had to join the club, but welcome to the forum.

Your quick rise in PSA will almost certainly be connected to your prostatitis. 

When I had my bone scan they found lytic areas which they initially thought could be cancerous but fortunately, like DaveyH's, turned out to be arthritis.

Only a biopsy can tell IF you've got prostate cancer and IF you have, how aggressive it is likely to be.

Please keep us updated and good luck with the biopsy results, mate.

Edited by member 18 Sep 2025 at 22:52  | Reason: Typo

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User
Posted 18 Sep 2025 at 17:16

I am not sure if the operative can tell off a bone scan as I think it needs someone medically trained to interpret the scan.   I know from experience that the waiting for results is the hardest bit.   If you’ve not heard within a week or so I’d ring up and mither them.  Cheers.  Simon 

User
Posted 18 Sep 2025 at 17:57

Thanks Simon

Just not sure why they wanted me to wait to see if i needed more scans.

Yes, the waiting and thinking about it is the hardest.

User
Posted 18 Sep 2025 at 18:50

Dean, I have often been asked to hang about after scans so they can check the images. I wouldn't read too much into it. Injuries can show up on bone scans, that may look suspicious but when properly looked at do not require further investigation.

Thanks Chris 

User
Posted 18 Sep 2025 at 18:57

Thanks Chris

Just have to try and stop thinking about the results. 

 

User
Posted 18 Sep 2025 at 20:00
No news is good news. I’ve had 4 bone scans. I knew instantly on my fourth scan that I had multiple mets starting.

A I could see it on the scanner display. I was lit up white

B. They needed a load more x-rays after

So I think you’re good 🤞

User
Posted 18 Sep 2025 at 20:13

Thanks Chris

I hope you doing well.

User
Posted 18 Sep 2025 at 20:43

Sorry

Another question, any idea why PSA would go up so fast from 6 to 20 in three months.

Edited by member 18 Sep 2025 at 20:44  | Reason: Not specified

User
Posted 18 Sep 2025 at 20:53

Hi Dean, as has been suggested already, you were probably asked to wait just to make sure they have the images they need. The radiographer is the technician that operates the scanner. The images go off to a radiologist who interprets the image to diagnose any potential issues. You’ll have to wait normally a week or two for the results.

With me the bone scan found a “hot spot” on my spine lumber 2, potential metastasis. I was then sent for a PSMA PET scan about 3 weeks later to confirm or otherwise. Then another 2 to 3 weeks to get the result. In my case the PET scan didn’t find any mets. The bone scan gave a false positive on a degenerative condition, probably a bit of arthritis. It was a massive relief, but I went through around 5 to 6 weeks of purgatory thinking my prostate cancer had spread. 

Good luck with your scan results !

User
Posted 18 Sep 2025 at 22:39

Hi Dean,

I'm sorry that you're having prostate problems and you've had to join the club, but welcome to the forum.

Your quick rise in PSA will almost certainly be connected to your prostatitis. 

When I had my bone scan they found lytic areas which they initially thought could be cancerous but fortunately, like DaveyH's, turned out to be arthritis.

Only a biopsy can tell IF you've got prostate cancer and IF you have, how aggressive it is likely to be.

Please keep us updated and good luck with the biopsy results, mate.

Edited by member 18 Sep 2025 at 22:52  | Reason: Typo

User
Posted 19 Sep 2025 at 19:59

Thanks Adrian

Its a horrible situation thinking of all the different scenarios, every pain makes you panic. Good job Mrs is level headed.

 
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