How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. David Your Own Question
Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 49198
Experience:  Board Certified Oncologist
Type Your Oncology Question Here...
Dr. David is online now

This is for Dr.David,A continuation from:- 06/08/2016 01:44

This answer was rated:

This is for Dr.David,A continuation from:- 06/08/2016 01***** David, Enclosed a copy of the CT Scan for your perusal and comments....:: Section reported by: DR D SALLOMI - CONSULTANT RADTOLOGIST ::: Verifi-ed: 23 May 20L6 L1:36 :::
Clinical- History : Raised pSA
::: section reported by: DR D sALLoMr - CONSULTANT RADro],ocrsr ::: Verified. 23 May 2016 Lt:36 :::
NM Bone whole body : Tracer within the bladder obscures ful-l- visualisation of the pelvis. Several foci of increased tracer uptake are noted in keeping with foci of degenerative change. Focus of soft tissue contamination noted. Smal-l focus of mild increase i-n tracer uptake overlies t.he l-eft seventh rib in its posterolateral margin. This is non-specific in sci-ntigraphic appearances and may be rel_.ated to trauma Foci of increase in tracer uptake overly the sternum. This may be related to degeneratj-ve change. Correlation with a l-ocalised plain film or crosssectional- imaging may be helpful to confirm this and exclude other causes for this appearance.
No convincing scintigraphic evidence of widespread disseminated skeletal metastasis is identified on this isotope study. However, scintigraphic appearances of the sternum noted as described which woufd benefit from further eval-uation as described.
NM Sacroil-iac scan : PJ-ease see the report above.

this is Dr. David

this bone scan report shows no evidence of cancer spread to the bones

but you have some old age wear and tear of your bones which is common at your age

that is what degenerative changes mean

Customer: replied 1 year ago.
O.k...So I will ignore the PET scan and go with the HT,RT,chemo? According to a senior oncology nurse,for the HT the drug that is injected is dependent on what the local surgery uses, should I specify a particular one, or does it not matter.

I would go with no estrogen patch

i would go with anti-testosterone therapy like leuprolide or goserelin which tends to be used over in europe.

pelvic radiation therapy for 5 weeks to treat the lymph nodes and cone down to the prostate to a higher dose

chemotherapy is questionable.

that is a good sign the bone scan didn't show evidence of cancer spread to your bones.

you are not getting surgery for your prostate cancer.

Customer: replied 1 year ago.
No one has mentioned surgery as yet.

you don't need surgery

choice of anti-testosterone therapy doesn't depend on your surgery.

leuprolide or goserelin are both fine to use to decrease and stop testoterone production to freeze any prostate cancer in your body and to make external beam radiation more effective

let me know if you have other questions.

if done for now, please leave positive rating of 3-5 stars so I can get credit for helping you today

we only get credit for helping clients after positive feedback

you can always reach me directly with "a question for Dr. David" in the medicine or oncology categories if you have other questions

here is my website if you need to reach me:

Thanks for using

Dr. David and other Oncology Specialists are ready to help you