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@cooper1076

I am looking at having a PSMA Pet scan in a week. I was initially diagnosed with Gleason 3+4 two years ago but before having surgery my PSA was increasing from 6 to a 13. Got another opinion at UCLA, a second biopsy showed I was now Gleason 9. Prostectomy in July. PSA came back quickly after first 3 months. Had a PMA pet scan before I reached one. 1.0 which was negative. I then underwent 39 treatments of radiation in the prostate bed and six months of Lupron. I was below .04 after the treatment for only a couple of months now the PSA is at .6.
This entire time my doubling rate is frighteningly quick. My PSA is low but doubling every month now at .6. Of course I will do a PSMA Pet scan even though it may not show anything yet. What I read tells me my prospects are not great because of the velocity , yet my PSA is still low. I have not seen any recent studies showing the impact of PSMA with early ability to locate where this thing is. Dr. Sholz seems to believe it is a game changer. I sure hope so. Any advice would be greatly appreciated.

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Replies to "I am looking at having a PSMA Pet scan in a week. I was initially diagnosed..."

So sorry to hear of this; you would have thought you’d be done with this by now….
I am not qualified to give you any clear advice as to how to proceed forward but I do see the dilemma: Wait for the PSA to increase to the point of becoming visible on PSMA - or go back on ADT to slow it down but by doing so you may NEVER visualize it on a scan. The first scenario is chancy because it could metastasize or spread further….the second puts you on ADT, possibly for life. What do your DRS say?