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First detectable uPSA since surgery 14mos ago

Prostate Cancer | Last Active: Feb 4 6:07pm | Replies (17)
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@manutebol

Thanks for the input.

Also wanted to pass along the latest AUA/ASTRO guidelines from 2024 for handling recurrences.
https://www.auanet.org/guidelines-and-quality/guidelines/salvage-therapy-for-prostate-cancer

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Replies to "Thanks for the input. Also wanted to pass along the latest AUA/ASTRO guidelines from 2024 for..."
heavyphil | @heavyphil | Feb 2 10:28am

Thanks for those guidelines - very helpful. I totally understand your dread and sense of inevitability ….that was me about 2 yrs ago.
But no matter your risk profile according to Gleason, etc., the new guidelines still recommend .2 as the definition of BCR. You are really far from that at .014…
Now the thing to watch is the velocity of any PSA increase since that is a pretty good indicator of how rapidly growing any cancer cells may be. Normal prostate cells left behind as part of nerve sparing procedures, or Cowpers gland cells do not produce rapidly accelerating PSA - only cancer does that.
Also remember that PSMA scan doesn’t really show much below PSA values of .5 so no great rush to have that done either. Enjoy NO treatment while you can!🤗

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