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1st PSA test seven weeks after surgery

Prostate Cancer | Last Active: Jul 25 3:06pm | Replies (44)

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John Davis 60:

Yes it upsetting.

My 1st PSA post RP at Johns Hopkins was taken at 30 days and persistent at .19

Gleason 9 with EPE from Post-Op pathology.

So I was very disappointed with the pathology report and not stunned, but terribly disappointed, at the first PSA result.

My RO at Johns Hopkins prescribed Salvage Radiation to the whole pelvic region (WPRT) including the pelvic lymph nodes, together with ADT, and I chose Orgovyx.

I also had a PSMA Pet scan which did not reveal any specific tumors or areas of definite metastasis.

My radiation was IMRT 66.6 GY to the prostate region (45 GY to the pelvic lymph nodes), delivered in 37 txs of 1.8 GY each.

Tested 6 mos after radiation completed and PSA has been undetectable at < .02 for last 18 mos of testing.

Having surgery at 72 and then immediately having Salvage Treatment was a lot, however I am now 75 and feeling well.

So I empathize with you and wish you the best. And I hope and believe that your additional treatment will be successful.

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Replies to "John Davis 60: Yes it upsetting. My 1st PSA post RP at Johns Hopkins was taken..."

Thank you @michaelcharles ! i believe the RO’s plan is to radiate me over 37 sessions.
I also had a PSMA pet scan prior to surgery and they found no spread so hopefully the radiation and other treatments will keep me alive until 60 ( I’m 50 now). Thanks again:)