← Return to PSA rise 1.5 yrs post Salvage radiation & 4 yrs post surgery: Why?

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@jeffmarc

The time to worry is when you get three increases in a row. If the PSA is not above .1 it’s probably too early to do anything. You’re seeing pretty normal radiation bounce. If you had a less sensitive test, it would just show you as < .1 undetectable. Salvage radiation is usually given when you hit .2 in the USA.

You may have long term remission. With a 3+4 it’s not unusual.

My father died of prostate cancer at 88, I remember when he told me Lupron stopped working and there wasn’t anything else. At that time, I had no knowledge of Lupron, however I did see that my father was Rattled. I got it at 62 because my mother passed me BRCA2, my brother got it at 76, no BRCA2 but a father with it, adding to the odds.

Have you had genetic testing? Having it for three generations, could mean that you have a genetic anomaly. Do any female relatives of yours have breast cancer or any one with Pancreatic cancer. It is recommended that everybody with prostate cancer get hereditary genetic testing. Discuss it with your doctor, With certain genetic issues, there is another drug you can take to fight the cancer.

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Replies to "The time to worry is when you get three increases in a row. If the PSA..."

Jeff I sure appreciate your time and words here . I thought I was on course , but not 100% sure . It seems like the Dr was correct and still radiation bounce after 1.5 years I gather (?) . At 3+4 , I gather this is an average case , but I sure didn't like the 2mm breach . The Dr did however say "it appeared as if the breach just happened and zero invasion into all surrounding materials and tissues ". But im thinking that was a educated guess of sorts. Yes I did take that Genetic testing , and they stated that to all known, genetic defects, there was no match. I don't know how many no one defects there are, but quite a few. The report did say that I could have a genetic defect, but the ones that they have on recording is no match. With regard to cancer in the family, it is really only the guy side and Prostate cancer that is prevalent. Thanks for your help and kindness ! James

I forgot to mention , that the research for genetic testing is going on here in Canada . Many Labs are trying to look at feature of genetics for cures . I think it is important research ! Yes , and you're right , people with breast cancer in their family have high risk of prostate cancers . All Glandular in nature . Right now im still doing every 3 month PSA checks , Dr said I could back off to every 6 months or 10 months . I told him I feel uncomfortable with no data . So he said we will stick to every 3 months . He seemed Ok about it . Wise choice ? Thanks for your opinions . James