After the MRI and bone scan I received a letter in the mail. The
doctor wants to x-ray my knees, elbows, back and my feet. It is
Saturday and I can't talk to the doctor directly. Does this mean the
cancer has spread? Or, could it be something else?
Stephen Jordan - 22 May 2005 19:46 GMT
On May 22, jt inquired:
> After the MRI and bone scan I received a letter in the mail. The
> doctor wants to x-ray my knees, elbows, back and my feet. It is
> Saturday and I can't talk to the doctor directly. Does this mean the
> cancer has spread? Or, could it be something else?
Without knowing jt's details, it's difficult to guess.
But, since the communication was not via phone, I'd suppose that it's
probably something else that the medic suspects and wishes to verify.
Regards,
Steve J
OCL - 22 May 2005 21:03 GMT
> After the MRI and bone scan I received a letter in the mail. The
> doctor wants to x-ray my knees, elbows, back and my feet. It is
> Saturday and I can't talk to the doctor directly. Does this mean the
> cancer has spread? Or, could it be something else?
Sure, it could be something else. What happens in the bone
scan is that "hot spots" show up. A "hot spot" is anywhere
that there is increased metabolism or uptake of the radioactive
isotope that was injected for the scan. So, if you had a wisdom
tooth removed or had a healing bone fracture or you have
osteoarthritis, for example, that's all going to show up on a
bone scan as "hot spots." No way to tell from those scans if
they are cancer or not. If the doc wants to x-ray then it may
mean that the scans showed something going on in some of
those places that the doc wants more information about.
OCL
Steve Kramer - 22 May 2005 23:08 GMT
Sorry, jt, but I know nothing of your history. How old are you? When did
you find you had PCa? How was it removed? What have your PSA results been?
Etc., etc.
Based on absolutely nothing else, I'd say there is a significant possibility
that you have arthritis. When I had a bone scan my hands, feet and back lit
up like a Christmas tree. And I was only 48 at the time.
There are several possibilities. No use in assuming the worst.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA .07 .05 .06 .05
non Illegitimi carborundum
> After the MRI and bone scan I received a letter in the mail. The
> doctor wants to x-ray my knees, elbows, back and my feet. It is
> Saturday and I can't talk to the doctor directly. Does this mean the
> cancer has spread? Or, could it be something else?
cpw@traverse.com - 23 May 2005 01:53 GMT
> After the MRI and bone scan I received a letter in the mail. The
> doctor wants to x-ray my knees, elbows, back and my feet. It is
> Saturday and I can't talk to the doctor directly. Does this mean the
> cancer has spread? Or, could it be something else?
I'm a radiologist who reads bone scans. How old are you?
The fact that only joints need to be x-rayed says to me that this is
probably just arthritis.
Prostate metastases tend to go to the "axial" skeleton...meaning the
spine, pelvis, skull, and proximal femurs. Without knowing the
situation, I would speculate that the "doctor" is looking to do some
extra billable imaging by filming any area that showed up "hot" on your
scan. The distribution you describe is highly unlikely to represent
metatstatic disease.
Good luck, CPW