Hello doctor. My father was diagnosed with ca prostate two years back. He was treated with hormone therapy and radiations. The hormone therapy is over now and he was advised to undergo a pet scan as a follow up. The report says that he has a 21x21 mm lump in the right lobe of the lung with positive feeding sign max suv 10. What does this mean? is this a case of metastasis in the lungs or a primary malignancy? please help. I am worried. And please throw some light on the treatment. Thanks.

Dr. Tapan Kumar BhattacharjeeGeneral Physician45yrs exp

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Prostate ca do metastasizes. Check bones and ct brain also. Hope your oncologist must have done these. Lung sol appears to be a metastasis than a separate primary focus. However oncologists are best person who can and should speak to you about yours father's prognosis. Pet scan is better investigation for malignancy. Please follow their advice. You need treatment again. Aiims, New Delhi, Tata memorial, at Mumbai, cmc vellore, Chennai - any one of them are some best centers in our country for treatment and/or opinion.  

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