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Monitoring PSA post surgery with Gleason 9

Prostate Cancer | Last Active: Apr 12 1:10pm | Replies (18)
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@jeffmarc

Some people (10%) do not produce much PSA. In some cases, they also do not produce PSMA, Which means that treatments like Pluvicto won’t work And a PSMA Pet scan shows nothing, Even in the prostate.

Having your PSA jump from 1 to 4.3 pretty much says you do Produced PSA.

After surgery, the three month PSA test usually comes back undetectable, mine came back undetectable two months after surgery. At this point, you seem to be concerned about the wrong issues. If your PSA results are high after three months, then you have metastasis somewhere else

Doing an FDG or Choline pet scan Can show metastasis that don’t show up on the PSMA pet scan.

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Replies to "Some people (10%) do not produce much PSA. In some cases, they also do not produce..."
johndavis60 | @johndavis60 | Apr 10 11:21am

Thanks @jeffmarc
I guess I’m just concerned about how my doctors will monitor me because it seems to me like I had something undetected going on for maybe years while my psa was around 1, but maybe this thing just developed within 1 year? I don’t know, but I hope psa tests will be accurate for me since I understand that not all aggressive cancer cells express psa. Thanks!

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