81 year old who had prostate cancer 13 years ago psa risen to 36

Posted by cwandell @cwandell, Jun 16 5:28am

Was treated for prostate cancer with radiation and hormones 13 years ago now psa has risen to 36 I have no symptoms and do not really want to go back on hormone treatment At my age of 81 should I consider treatment ?

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stevecando54 | @stevecando54 | Jun 16 5:44am

My answer to your question is yes you should consider. Seems you already are considering by posting your question. You owe it to yourself to find out your options, then you can decide if that is what you want to do. I'm not walking in your shoes, I have no idea how I would handle it, if and when it should arise for me. I send hugs and prayers to you. Best to all.

hbp | @hbp | Jun 16 9:13am

I think that radiation and a short treatment of ADT would be benificial

gently | @gently | Jun 17 9:17am

Consider treatment because without the decline from untreated cancer can be slow and painful. You may be able to avoid ADT. You might have your md order an AI test done on your 13 year old biopsy material https://artera.ai to better understand any advantage. ( thanks @Kujhawk1078 ) The test is completely free with Medicare Part B. You don't have to do anything except get the medical provider to order it. And you get the results within 3 days.
You may be having local recurrence best addressed by radiation.

ava11 | @ava11 | Jun 17 10:49am

gently,
What is AI test? Genetic test to assess if ADT helps?

gently | @gently | Jun 17 11:16am

Ava11, yes. Click the link though https://artera.ai.
gently

gently | @gently | Jun 17 11:42am

You probably already know that shingles is known to cause hallucinations.

melcanada | @melcanada | Jun 18 6:36am

Psa up to 31.4 after 5 injection of Xofigo or Radium 223 last year did Xtandi and psa went to 10
ONCOLOGISTS wants chemo after bone and CT scans

Ideas please

stevecando54 | @stevecando54 | Jun 18 3:47pm

Definitely your call of course, I'm one of those, good or bad, if Dr says we should be doing this, then let's have at it. I got the chemo after my mri, psa at the time was 936, had no idea what that meant. I had 10 rounds of chemo, not the best time of my life, but you get through it and move on. I don't particularly care for the side effects from the meds we take but nothing compares to the pain I had in my leg, which stopped after starting treatment. Best to you.