I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error

Bone scan for Gleason 7 4&3, psa 13, t2c with risk of t3a

Email this conversation Print this conversation
User
Posted 13 Nov 2025 at 10:35

Writing into the group again — I do find it to be a really good support.

My dad has a bone scan on Monday, and we’re all quite worried as he’s had groin and thigh pain since July. At his biopsy, the urologist thought the pain was likely due to sciatica. At his results appointment, the nurse gave him a folder with information about early prostate cancer, along with leaflets on surgery and radiation, and advised him to think about his options. She mentioned that the bone scan is needed first to be sure and said he meets the criteria for one because he has Gleason 7 (4+3), T2c, PSA 13, with the risk of T3a.

Given this, do you think they are concerned about spread, even though he was told to consider treatment options? I know nothing is certain, but taking his pain and these factors into account, what seems most likely?

User
Posted 13 Nov 2025 at 18:57

Agree with Adrian that the aches and pains are unlikely to be linked to prostate cancer. I am Gleason 7 (4+3) andT3a and have some aches and pains probably typical of a man of nearly 70.
The bone scan then revealed a hot spot indicating possible spread to my spine. I was then sent for a PSMA PET scan which showed the hot spot as a degenerative condition, probably a bit of arthritis. It was not a nice 6 weeks or so between scans thinking I may have stage 4 cancer, but an enormous relief to find out it was only a bit of arthritis.

 

 

 

User
Posted 15 Nov 2025 at 02:03

I also agree that the aches and pains are almost certainly not cancer related. There would have to be a significant amount of cancer spread for that to be the case which there would have been some signs of on the mri (EPE, enlarged lymph nodes, SVI etc...). 

 

My stats were very similar to your dad's. My PSA was 12.7 and my mri clearly showed areas of "gross" extra prostetic extension which meant I was well into stage 3a at a minimum. My gleason was also 4+3. Thankfully my PSMA Pet scan came back showing no distant spread. Prior to that scan though I too became hyper aware of every ache and pain I had along with a bit of a cough I had that I was convinced meant my cancer had spread to my lungs already. Cancer is cruel on the human psyche.

User
Posted 13 Nov 2025 at 11:18

Hi again

Bone scans are often used routinely. It's highly unlikely that your dad's aches and pains are linked to PCa.

I don't know if I've already posted this link to you which deals with treatment options and possible side effects.. It is excellent and worth viewing. It's much easier than wading through books and leaflets.

https://youtu.be/zYTU94-8pTc?si=1Z29_l8rbTwF6DHl

If surgery is an option, I suggest he views this as well.

https://drive.google.com/file/d/1fyYTLZpxnB9HaR7O4xQ5Ff58Pj4Cn6ZB/view?pli=1

Good luck.👍

Edited by member 13 Nov 2025 at 11:18  | Reason: Typo

User
Posted 15 Nov 2025 at 07:35

Concerned, I have similar view to those above and had some similarities with your dad's diagnosis stats. Its been a rollercoaster ride for me, but still here 12 years on from diagnosis. Good to know you are in his corner. 

Thanks Chris 

Edited by member 15 Nov 2025 at 10:13  | Reason: Not specified

User
Posted 15 Nov 2025 at 19:19

There are amazing coincidences, suspicious pains arrive when you least want them.  I was T2a/T3 at diagnosis but after a prostatectomy I was T2a.   I had a pain in the hip during diagnosis and the medical staff said it was sport related.  I didn't believe them until the pain went about 6 months later.  Since then I've found that quite often when I worry about something a suitable pain arrives and then goes when the risk is lowered.

Show Most Thanked Posts
User
Posted 13 Nov 2025 at 11:18

Hi again

Bone scans are often used routinely. It's highly unlikely that your dad's aches and pains are linked to PCa.

I don't know if I've already posted this link to you which deals with treatment options and possible side effects.. It is excellent and worth viewing. It's much easier than wading through books and leaflets.

https://youtu.be/zYTU94-8pTc?si=1Z29_l8rbTwF6DHl

If surgery is an option, I suggest he views this as well.

https://drive.google.com/file/d/1fyYTLZpxnB9HaR7O4xQ5Ff58Pj4Cn6ZB/view?pli=1

Good luck.👍

Edited by member 13 Nov 2025 at 11:18  | Reason: Typo

User
Posted 13 Nov 2025 at 18:57

Agree with Adrian that the aches and pains are unlikely to be linked to prostate cancer. I am Gleason 7 (4+3) andT3a and have some aches and pains probably typical of a man of nearly 70.
The bone scan then revealed a hot spot indicating possible spread to my spine. I was then sent for a PSMA PET scan which showed the hot spot as a degenerative condition, probably a bit of arthritis. It was not a nice 6 weeks or so between scans thinking I may have stage 4 cancer, but an enormous relief to find out it was only a bit of arthritis.

 

 

 

User
Posted 15 Nov 2025 at 02:03

I also agree that the aches and pains are almost certainly not cancer related. There would have to be a significant amount of cancer spread for that to be the case which there would have been some signs of on the mri (EPE, enlarged lymph nodes, SVI etc...). 

 

My stats were very similar to your dad's. My PSA was 12.7 and my mri clearly showed areas of "gross" extra prostetic extension which meant I was well into stage 3a at a minimum. My gleason was also 4+3. Thankfully my PSMA Pet scan came back showing no distant spread. Prior to that scan though I too became hyper aware of every ache and pain I had along with a bit of a cough I had that I was convinced meant my cancer had spread to my lungs already. Cancer is cruel on the human psyche.

User
Posted 15 Nov 2025 at 07:35

Concerned, I have similar view to those above and had some similarities with your dad's diagnosis stats. Its been a rollercoaster ride for me, but still here 12 years on from diagnosis. Good to know you are in his corner. 

Thanks Chris 

Edited by member 15 Nov 2025 at 10:13  | Reason: Not specified

User
Posted 15 Nov 2025 at 19:19

There are amazing coincidences, suspicious pains arrive when you least want them.  I was T2a/T3 at diagnosis but after a prostatectomy I was T2a.   I had a pain in the hip during diagnosis and the medical staff said it was sport related.  I didn't believe them until the pain went about 6 months later.  Since then I've found that quite often when I worry about something a suitable pain arrives and then goes when the risk is lowered.

 
Forum Jump  
Email this conversation Print this conversation

Join the online community now.

Click through to become a member and gain access to support, information and real time replies.




MenuTop ▲
©2025 Prostate Cancer UK