Conversation: The conversation between human and AI assistant.
[|Human|] II have been bothered by upper back discomfort for approx 4 months ...2 years ago I had a Prostetectomy (Retropubic ) Prior to my surgery a bone scane / r/o mets ; MRI and all the other tests involved will this disease ... Psa was 4.5 ; After Surgery and for the past 2 years ( Non detectable ) .Tested every 6 months ... I had a gleason score of 6 , staging of t1c ,clean margins and was incapsulated ... Had lympth node dissection --- All was clean ...... Now I m thinking maybe Metasisis ---- Your thoughts --- (last PSA was in Oct / 2010 (undetectible ) ....... thanks, Dave )
[|AI|]  Dear patient You have not mentioned your age and occupation. Since prostate cancer usually affects elderly you must be around 60 years of age.  At your age there are multiple causes of back pain and common is osteoporosis and degenerative spine disease. But possibility of metastasis should also need to be ruled out. You need to be investigated with 1. X-ray of dorsolumbar spine anteroposterior and lateral views 2. MRI of dorsolumbar spine to confirm diagnosis.  You need to visit radiology center nearby you and get it done.  You need to consult expert oncologist if report shows positive metastasis.  All the best.