Update to Previous Case (Images added): Bone scan of 59 yo | Figure 1
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Update to Previous Case (Images added):
Bone scan of 59 yo male patient showing areas of increased uptake at left ilium and right posterior 11th rib (please see previous case for CT & Bone Scan reports). Previous PSA of 9, negative prostate biopsy, current PSA of 2.4. No history of cancer. After CT and bone scan, patient is now scheduled for PET scan. Any and all help is greatly appreciated!
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- Here is his bone scan. Most of the darker areas represent metastatic lesions from prostate cancer.
72 y/o male Dx 1996 with Prostate Ca. Initially, radical prostatectomy and commenced HRT.
Pt in remission for 14 years. 2013: Biochemical assessment suspicious for recurrence with raised PSA of 17 from a previous PSA of 7 only 6 months earlier.
CT CAP- enlarged iliac lymph node. Biopsy Dx metastatic adenocarcinoma of prostate.
No chemo or Radiation Tx to date.
Recent PSMA PET/CT scan (sensitive in the detection of prostate cancer).
Official conclusion: widespread disease involving thoracic, abdominal and pelvic lymph nodes and all bones.
PROSTATE CANCER
76 years old male patient with prostate cancer diagnosis, PSA 126 ng/ml
Bone scan indications in prostate cancer according with NCCA are the next ones:
- T1 Tumor PSA levels > 20 ng/ml
- T2 Tumor PSA levels > 10 ng/ml
- Gleason score > or = 8
- T3 or T4
- Referred bone pain
Newer technology using 18F-NaF as the tracer for a PET/CT scan or hybrid imaging bone scan as a diagnostic staging study. The rate of a positive bone scan for men with PSA > 10 ng/ml was is 4%.
78 y.o. male. CC: dysuria. history of surgery due to BPH 11 yrs ago. PSA: 48 ngm
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