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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Prostate Cancer And Elevated PSA Levels Be Treated?

My dad has a diagnosis of Prostate Cancer. His PSA remains high despite surgery - TURP and orchiectomy. So urologist specialist ordered bone scan and PET scan.Results just came in - F choline uptake in the right side of the prostatic region suggestive of residual recurrent disease.Also F choline uptake in salivary glands as well as F choline activity in the livee, pancreas, kidneys, GI and urinary tract. What does this mean? Is there metastasis? Can you determine what stage is the cancer with this information? What treatment options do you recommend?
Tue, 7 Aug 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Unfortunately there is recurrence with suspected metastatic lesion. Thus it is a advanced case and second survey has no role. You can opt for palliative chemoradiation which will help in pain relief and prolong the expectancy. Your urologist will explain more details.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Shinas Hussain
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How Can Prostate Cancer And Elevated PSA Levels Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unfortunately there is recurrence with suspected metastatic lesion. Thus it is a advanced case and second survey has no role. You can opt for palliative chemoradiation which will help in pain relief and prolong the expectancy. Your urologist will explain more details. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain