Connect
← Return to Post RP results: PSA and Decipher score. Asking for comments
Discussion
Post RP results: PSA and Decipher score. Asking for comments
Prostate Cancer | Last Active: Jan 21 12:36pm | Replies (11)Comment receiving replies
Great news on the recovery, excellent!
April 1st can seem like a very long time away, but it is very soon in the world of prostate cancer. You did (presumably) a sufficient amount of research on deciding to have surgery, so you can (if desired, and it sounds like you are of interest) enter into the next chapter of education and research to explore the cancer outlook after surgery. I would think you would get a PSA test every month (there is no harm in drawing blood and getting a measurement) and then you will have multiple data points for consideration.
Even if your PSA rises in the next few months, it will need to rise to a minimal level (2 or so) in order for some of the imaging to have a degree of confidence.
The heterogeneity of prostate cancer is such that your path forward will be similar, but not exact to other people. So, take your time on education and research, and continue to enjoy a successful recovery from the surgery.
Replies to "Great news on the recovery, excellent! April 1st can seem like a very long time away,..."
Connect
In response to @edmonds1971; a PSA reading of .200 is normally considered a sign of recurrence after surgery although some urologists become concerned with a reading of .100 so you have a ways to go. I am not familiar with the impact of the Decipher test. A PSMA-PET scan at .200 has a low likelihood of detecting any cancer. The likelihood of the PSMA detecting cancer increases as your PSA increases from .500 to 2.0. The dilemma is that an early scan might not detect anything but if you delay treatment the cancer may have spread.