• Do I need a "full body scan" like Nuclear MRI or similar before i begin treatment for prostrate cancer?

    Asked by tomget on Friday, October 19, 2012

    Do I need a "full body scan" like Nuclear MRI or similar before i begin treatment for prostrate cancer?

    Just recently diagnosed with adenocarcinoma prostrate cancer as the result of prostrate biopsy. I guess its a Stage2A...(PSA at 5 and Gleason Score 6(3+3)). Haven't had any symptoms..started seeing Urologist about 9months ago because heightened rate of PSA increasing numbers over a year or two.

    Not certain of which of the treatment options to follow at this time..but thinking towards robotic removal of prostrate..maybe in Dec. Doctor mentioned lots of options..he prefers the robotic removal etc..i think it would work for me after reviewing all.

    But just new to all this..and I've read Nat'l Cancer Institute recommends further testing like NMRI and various tests that examine the whole body to see if cancer has spread from prostrate before treatment continues etc. Really? In my recent conversation with the doctor..I don't think he suggested such a body scan etc. We talked about lots of stuff..i may have missed it, but for sure I don't have any such scan scheduled on the horizon. So? sho

    4 Answers from the Community

    4 answers
    • GENMAR47's Avatar
      GENMAR47

      Hi tomget. Welcome to WhatNext.I was diagnosed with stage 2A prostate cancer on July 27th this year. PSA 2.3, Gleason 3+3. Haven't started treatment yet. I can't have surgery or seed implants, so it may be EBRT(external beam radiation therapy) for me. So I am fairly new to all this also. I hadn't heard about NCI recommending a NucMRI before treament. I will have to check it out. I would ask your urologist what he thinks. He should have a good idea if it has metastasized and spread from the DRE and biopsy. He should be able to tell you if it is low risk or not. I would get a second opinion from a radiation oncologist on Brachytherapy and EBRT. There is also a newer therapy called Proton Beam Therapy. There is Cryotherapy. There is one called HIFU. Then there is Chemo and hormone therapy which is normally used for advanced PC. A combination of these can be used, so there are a lot of options. If it is low risk, don't be stampeded into doing a treatment without a lot of research. Anything I can do to help, just let me know. I see you have asked MichaelV about it. He has been through the whole nine yards so he is a great source of information. Also, ACS has a book called Complete Guide to Prostate Cancer. It covers the conventional side of prostate cancer and treatment. Remember, this is your body and your life, so ask questions, get answers, take charge of your treatment and keep in mind that the doctors work for you. Research and look for new advances in treatments. You also might want to look into alternative and complimentary cancer treatments. A lot of what you will find out there is pure malarky from quacks, but a lot of it will surprise you if you read it with an open mind. There are no magic cures or guarantees in alternative medicine for cancer, but the same is true for current conventional medicine. Just stay informed.
      There is a ton of good support on this site, so don't hesitate to use it. I wish you all the best in this journey. Jim.

      almost 5 years ago
    • tomget's Avatar
      tomget

      Hey Genmar..thanks for your answer on my prostrate cancer question..Ya..I'm pretty sure the Prostrate cancer hasn't spread...at this 2A stage it's thought to still be confined to the prostrate..but I'm wondering..who knows..maybe I already have cancer in my body from something other than the Prostrate cancer, and if I do..maybe I won' be in such a hurry to go through Prostrate removal..I mean why do it..if I already have cancer in my bones or wherever? I don't suppose the cancer in the Prostrate is such a problem..its the spreading of it to other more critical organs..that I suppose is my immediate concern. So if I'm already "cancered up" from something else..I would approach treatment differently...I suppose.

      I'll for sure ask the MD more questions..and there's so much to learn ..maybe I should go ahead and get another opinion. The urologist offered to refer me for such and I declined, but now changing my mind..Why not get another MD's thoughts..can't hurt.

      Goodluck
      Tom

      almost 5 years ago
    • SueRae1's Avatar
      SueRae1

      There are other full body scans that can be done such as PET and Bone - which can help determine is the cancer is spread, I would try to get a 2nd opinion about which if any of these options are appropriate to your treatment.

      almost 5 years ago
    • tomget's Avatar
      tomget

      SueRae thanks much for your response.
      Tom

      almost 5 years ago

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