Results were not good. I have prostate cancer in both lobes.
PSA of 9.8
Gleason 7 4+3,
6 out of 12 cores positive, 20% and 30%.
Bone scan negative. CT scan says no "definite" metastisis, however, a 2.5-cm segment ll and 1.8 cm caudate lobe liver hypodense lesions were seen(possibly cysts or biliary hamertoma. Also, a 1.3 cm left kidney hypodense lesion was evident( possibly cyst). There was dependent atelectasis in both lung bases.
A tiny sclerotic focus on left femoral head (likely bone island). Bladder was unremarkable. A prostatic calcification is noted. Everything else was unremarkable.
I'm waiting to see the oncologist/urologist on April 7th. With all of this stuff found I'm nervous about what further testing may find. I have these results but the doctor will not go over them until my appointment with him. Should I be worried or does all of this sound like incidental findings? I've been hurting in my lower back and hip for 2 months now. I know the chances of bone metastisis are very slim with my psa being under 10....but the bone island on my femoral head is a little weird to say the least. Bone scans don't always pick up small lesions....so I'm hoping that this really is just a bone island and nothing to worry about. Any advice would be most helpful at this point.
Thanks,
Bob




