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2.5 Yrs After Proton Rad PSA reached 1.05
Prostate Cancer | Last Active: Jul 14 3:26pm | Replies (17)Comment receiving replies
Dr Shultz said that 2-points over nadir is absurd and ridiculous. Some say 3- consecutive rises warrants further investigation. I’m a perfect example of the stupidity of the 2-point rise mine rose .75 after 3 tests and I have metastasis. I had to BEG for 2.5 years to get a psma scan, they kept throwing that two 2 point BS at me, we had a few heated argument and they finally relented.
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The three rises rule is for salvage radiation after surgery not for an initial Radiation treatment.
I confused the 3 rises for a while, but was straightened out when I was at a conference where a radiation oncologist emphasized that point over and over. There is a study that shows you should wait until two points above the minimum ever reached after radiation, I finally realized where the two different radiation treatments Differ.
I would be exactly where you are, If my PSA started rising after initial Radiation I would want to get a PSMA pet scan when it hit about .7. That’s what I told my oncologist a couple of years ago when the PSMA Pet test was sort of new. .7 was the point of which they recommended to not go below. Since then, I’ve heard a lot of people getting the test when they’re .2. If you have large metastasis, they may show up even with low PSA.
I can understand you wanting to push your doctor I would not put up with sitting waiting for it to rise two points before doing a PSMA Pet test.