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BCR Analyzation; < Age 60

Prostate Cancer | Last Active: Feb 27 3:58pm | Replies (25)

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@web265

Davinci RP in 9/21 margins were clear but there was Perineural invasion, and Lymphovascular invasion although a right lymph node was taken and was negative. Tumor Stage pT2c, pNO. High fives all around (celebration not a new lab test...)

then psa's of
01/26/22 0.039
04/26/22 0.091

Although I'm a bit older, my surgeon consider me a BCR at .091 trending upward PSA wise. His view is to take an aggressive tack. Although I'm ok with aggressive treatment in general, knowing what I know now, I'd have waited for at least one more test to confirm the trend. I started salvage radiation and orgovyx pretty much when I hit that mark. The feeling on his part seemed to be that it was inevitable.

I'm about 1.75 years post SRT still on orgovyx and testing at < .006 consistently at this point (knocks wood).

The problem with early PSMA tests is that they tend to be negative in the lower psa ranges. I had one that was negative at around .091. Another poster here shared this chart with us from one of the research sites.

Best of luck to you!

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Replies to "Davinci RP in 9/21 margins were clear but there was Perineural invasion, and Lymphovascular invasion although..."

Thanks for your story. Much appreciated. Knowledge is power for us all. Please advise how old were you at time of radiation, and why you wish you would have waited for 1 more PSA to confirm the trend. Keeping all in prayers.