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billybarnes avatar

What are the chances that this is just a PSA bounce?

Prostate Cancer | Last Active: May 16 6:36pm | Replies (14)

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Profile picture for brianjarvis @brianjarvis

Keep checking PSA and look for a trend.

Did you have a PSMA PET scan prior to treatments? Did you have a biomarker (genomic) test?

PSA is expected to be below 0.50 following standard radiation treatments (and if ADT was used, after ADT was out of the system). You should ask your RO if the first PSA of 0.9 was normal and expected.

As for PSA bounce, that’s common following SBRT and brachytherapy (where there is an intense radiation dose); it’s less common for standard treatments of IMRT and proton. Also, PSA bounce is said to occur at 12 - 18 months out (and as far out as 2 - 3 years), and not usually so soon after treatments.

Watch this closely with another PSA test. (Since this is regarding radiation, I’d listen to my RO.)

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Replies to "Keep checking PSA and look for a trend. Did you have a PSMA PET scan prior..."

Hi Brian. I did have a PSMA pet scan before treatment that showed no spred. My gleason score was 3 + 4 but my Decipher was .95. That's when we did the PSMA scan and a decision was made against ADT. It's a bit early for a bounce but I'm hoping for the best.