Ehemann mit Prostatakrebs diagnostiziert

PSA-Werte 21,3

T3 Gleason ist 8

Ist es normal, dass Ärzte einen Knochentest und eine CT-Untersuchung anfordern?

Hi, I was diagnosed 6/15. Psa 6.5, Gl. 4+3. To answer your question is yes in my experience. After biopsy came back they ordered bone scan and ct. I believe they were being thorough and cautious. Usually if there is bone metastases his psa is in the hundreds or thousands even. Be as positive as possible. For me the first 30 days was the hardest because the drs wouldn't tell me anything till all the test were done.

Hi darlene, with a T3 and Gleason 8 score, his prostate cancer is in the aggressive league and will try and escape the prostate capsule and cause all sorts of havoc. The bone/CT scans are usual for this type of prostate cancer score. It will reveal if it has already escaped and metastases' are evident. Depending on these results, the method of treatment will be determined. 

What age is your husband, and what is is general health. What caused him to see the doctor in the first place?

Geoff

Ja. Sie wollen sehen, ob der Krebs nur auf die Prostata begrenzt ist und sich nicht auf die Knochen ausgebreitet hat. 

I agree with geoff 90305.

In addition I suggest a PSMA PET/CT scan which combines a recently introduced PET scan in tandem with a CT scan. This helps reveal where the agree entirely cancer is.

a MRI may also be useful.

T3 indicates the tumor has broken the prostate capsule but that does not mean it has metastasised to the skeleton. The scans will show if it has metastasised,

Sorry, my iPad mistyped two words.

In place of "where the agree entirely cancer is " it should read, "where the aggressive cancer is".

Yes. A CT scan is routinely undertaken whenever PCA is detected - regardless of how slight the risk of metastases. It would be helpful if you could give the age of your husband.

Hi Darlene, I would think with that stage of Tumour then it is advisiable. 

My husband was diagnosed last year, no symptoms picked up on routine blood test. His PSA was 12, Gleason initially 3+3 then after 2nd biopsy upgraded to 3+4 T2A, initally just in one side of prostate we were told.

Had his prostate out in November. Histology results were that it was in both parts and T2C but all contained in prostate andgood negative margins.

 

Just pleased that it was discovered and dealt with, within 7 months, as seeing how it had spread within the prostate if GP had not done orignal blood test we could have gone on not knowing and it would have spread to other areas.

Good luck 

 

Mein Mann ist 56 Jahre alt und im Allgemeinen gesund. Er hat zwar Morbus Crohn und Reizdarmsyndrom, aber das hat er schon seit Jahren und geht regelmäßig zu Kontrolluntersuchungen und Darmspiegelungen. Er ging zum Arzt, weil er vermehrt Harndrang verspürte und häufiger urinieren musste. Danke für die Nachricht.

Mein Mann ist 56 Jahre alt

Danke ... stressig, aber Schritt für Schritt

I was 57 when I had similar figures. I opted for IMRT with hormone therapy and have no reason to regret my decision. One year on and very few side effects except for ED which can be managed.

Good luck!

Entschuldige David, aber was ist IMRT?

Yes, see above. Done in the UK. Going to hospital 37 times with all the waiting around is a drag but I did not have any real side effects. I know this is a stressful time but I found the whole procedure quite easy - the biopsy was the worse part for me.

Good luck!