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← Return to Numbers After SRT/ADT
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10 weeks left of 6 mos. of adt (Orgovxy) along with recently finished Salvage radiation. Got a second opinion from our regional CCC hospital and Genitourinary cancer specialist. As my T is 2 and PSA undetectable, he stated that I am in danger of being over treated and to wait 6 months after ADT to get my first PSA test. Also stated if your PSA starts rising wait until it gets to 2 (not .2) and come see me and we will find it. It was recently mentioned on this site that PSMA scans cannot see cancer that is less than 2.7 mm in size. Not advice, not suggestions. Just what I was told by the best in my city. He closed by saying I don't find you interesting and I only treat stage 4 cancers. I laughed and stated I think that is a good thing and everyone in the room laughed while agreeing.
Replies to "10 weeks left of 6 mos. of adt (Orgovxy) along with recently finished Salvage radiation. Got..."
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If you started off with radiation, not surgery then the rule is you do not do anything until your PSA rises 2 over the minimum that it ever reaches. If surgery is done then salvage radiation is recommended when the PSA rises to .2. With salvage radiation normal time to worry is after the PSA has risen three times in a row.
If you we're a Gleason seven then Six months of ADT makes sense. I can’t understand why he says you’re over treated. If you were only a Gleason 6 then maybe he was right. You want your PSA to be undetectable and your testosterone to be extremely low, So you can stop taking ADT and see if things go back to normal once your testosterone starts rising.
I sure would want to have PSA test every three months for the first year.