PSMA stands for prostate-specific membrane antigen. It is an imaging test done using positron emission tomography (PET) to detect prostate cancer. They cost more than CT and bone scans. This scan works using a radioactive tracer which lights up when the whole body scan is done allowing doctors to have a clear image of where exactly the prostate cancer is located in the person's body.
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My grandfather has stage 2 prostate cancer. Please help.
Query: Hello doctor, My grandfather is 74 years old, he was found with prostate cancer. The oncologist who found the cancer said that it would metastasize and spread in the body. I want to understand something that came across while we were searching for information. What is the role of stroma in prostate ... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Stage 2 prostate cancer is usually curable with radical surgery or with local radiotherapy. With these two treatment options, metastasis can be prevented in most cases. There is nothing like stroma, maybe it is prostatic stroma. The word... Read Full »
I was diagnosed with Gleason 6 and PSA levels are rising. Why?
Query: Hello doctor, I was diagnosed with Gleason 6 before twelve years. Undergoing radiotherapy from then, intially, it was 0.40 nadir, which increased annually. The last four PSA readings were 1.12 ng/mL, 1.60 ng/mL, 1.46 ng/mL, and 2.35 ng/mL. This last value was my concern. My urologist has retired, an... Read Full »
Answer: Hello, Welcome to icliniq.com. Your PSA (prostate-specific antigen) has been rising post-radiotherapy. Since it is above 2.0 ng/mL, I suggest you go for a PSMA PET (prostrate-specific membrane antigen positron emission tomography) scan. This will show any recurrence in the prostate or lymph nodes ... Read Full »
How to treat my father’s prostate cancer conservatively?
Query: Hello doctor,My dad is a prostate cancer patient and underwent IGRT last year with a Gleason of 3+4. I have three questions: He has already taken seven Zoladex injections and his PSA over the last two years has been less than 0.20 ng/mL, his last being 0.03 ng/mL. How many more doses does he need to... Read Full »
Answer: Hello, Welcome to icliniq.com. According to your query: Eight to twelve injections is the standard. For your dad, I suggest giving the same for three years (12 injections) of treatment. As testosterone levels drop, weakness sets in. This is a side effect of treatment If he is unable to tolerate th... Read Full »
Please provide a second opinion on my father's scan reports.
Query: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter? Read Full »
Answer: Hi,Welcome to icliniq.com.Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body. The patient in the scan had undergone radical... Read Full »
My father is 85-year-old and has been diagnosed with prostatic adenocarcinoma. What could be done?
Query: Hello doctor, My 85-year-old father has been diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (percentage of grade 4 is 30 %), tumor involves 60 % of submitted biopsy. No perineural invasion is seen. His PSA level is 107.69 ng/mL. He has triple vessel heart diseas... Read Full »
Answer: Hello, Welcome to icliniq.com. You can get a staging workup with PSMA (prostate-specific membrane antigen) scan or bone scan and MRI (magnetic resonance imaging) pelvis. His high PSA (prostate-specific antigen) does make him a high risk but considering his age. I will not suggest a very aggressive a... Read Full »
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