Connect
← Return to Recent PSMA PET does not detect cancer, what’s next?
Discussion
Recent PSMA PET does not detect cancer, what’s next?
Prostate Cancer | Last Active: 4 days ago | Replies (8)Comment receiving replies
Sorry to hear that the PCa has recurred.
The clear PSMA pet scan is a good thing; absent identifiable tumors, the cancer is believed to reside residually in the prostate bed and floor, and possibly in the pelvic lymph nodes.
Salvage Treatment was the next step for me, and 2 acquaintances following persistent PSA of .19 for me and BCR w/in about 1 year or less for the other fellows. 37 IMRT radiation txs to the prostate floor and pelvic lymph nodes. I had 4 mos ADT; they each were prescribed 6 mos ADT.
Possibly good news for you: A different friend recently had BCR after about 5 yrs following RP. His PSA rose slowly into the .2 range. He is being treated currently with radiation only at a MD Anderson facility in NJ, with no ADT. MD Anderson said ADT was not necessary because his PCa was considered slow growing based upon his history.
Best wishes.
Replies to "Sorry to hear that the PCa has recurred. The clear PSMA pet scan is a good..."
Connect
Bey Mike, this is the stuff that drives me nuts. Your friend at MD Anderson is not getting ADT because they feel his cancer is slow growing….
So slow growing that it came back?? I realize he may have had a low Decipher score but for me - also recurrent after exactly 5 yrs - I wanted ADT and actually changed my RO from one who said I didn’t need it to one at Sloan Kettering who said I did.
My personal feeling is that just like sequential biopsies can go from 3+3 to 3+4 to 4+3, so too can the PCa cells increase in both aggressiveness and growth rate. For me, the PSA velocity in my last 4 blood tests showed me that something was gaining steam and needed to be stopped, so I wanted ADT as a boost.