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PSA = 0.02 on second post-op test

Prostate Cancer | Last Active: Jun 30 9:40am | Replies (16)

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Did you Have a prostatectomy? If so, it is recommended that you get treatment when you hit .2 and at this point, you may be where you should get treatment now. Check out this information about what happens if you don’t get treatment soon enough.

From Ascopubs about what PSA to do salvage radiation.
≤0.2 ng/mL:
Starting at this level maximizes disease control and long-term survival. Patients treated at PSA < 0.2 ng/mL achieve higher rates of undetectable post-SRT PSA (56-70%) and improved 5-year progression-free survival (62.7-75%).
Delaying SRT beyond PSA ≥0.25 ng/mL increases mortality risk by ~50%.
0.2–0.5 ng/mL:
Still effective, particularly for patients with low-risk features (e.g., Gleason ≤7, slow PSA doubling time). The Journal of Clinical Oncology recommends SRT before PSA exceeds 0.25 ng/mL to preserve curative potential.
0.5–1.0 ng/mL:
Salvage radiation remains beneficial but may require combining with androgen deprivation therapy (ADT) for higher-risk cases.

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Replies to "Did you Have a prostatectomy? If so, it is recommended that you get treatment when you..."

Yes, I had a prostatectomy. My Gleason was a 3+4 =7
Cancer was also found in one lymph node.