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Bone scan

I was recently diagnosed with prostate cancer. My PSA was 1.96. The urologist felt nothing with a digital rectal exam. I had a biopsy of six biopsy sites. Only one of them showed a tumor in 20% of the core. The Gleason score was 6.
My question is this. I have had some pain in my lower back and sometimes shoulder area for 3 or 4 years. Do you think I could have bone metastases? I had a CT scan several months ago which looked at the bones in my back and pelvis. It said it saw what were likely bone islands but that it couldn't 100% rule out metastases.
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242579 tn?1252114771
Thank you for your question. From your statistics, your likelihood of having locally advanced disease, although completely plausible, seems unlikely. Furthermore, it is true that bone micro-metastases can be present years before they are picked up on bone scan as well.

There are some online calculators to assess your risk.



Ash Tewari, MD


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