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I agree with Jeff that the rise in PSA is really minimal. I was diagnosed last fall with Gleason 7, N1M0 (iliac lymph nodes). I’m in my 7th month. Of Orgovyx and had 44 weekday radiation treatments during February to April. PSA last fall was 6.4, in May 0.01. Tested again 7/24.

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Replies to "I agree with Jeff that the rise in PSA is really minimal. I was diagnosed last..."

Thanks to all.

Both my Oncologist and Surgeon told me that the cancer had probably metastasized to the lymph nodes, although they could not be certain. That the cancer is oligometastatic, and its progression well documented in research. Each doctor has decades of experience treating prostate cancer, and I am comfortable with their assessment. It seems to follow from everything I have read.

My reason for chatting here was not that I was concerned about a 0.02 PSA value. Additionally, I am only somewhat concerned about a metastatic diagnosis. Not sure where anyone even got those ideas from. I have my ideas about that, but don't need to share those here.

My concern has always been with coming to a deeper and broader understanding of my diagnosis so that I can make better treatment decisions with my doctors.

This is one of the main points I took away from @kujhawk1978's (Hawk) post. I found those comments very helpful, and at the same time caring. All of my questions, and a bit more, were answered there. So, thank you Hawk!

I found that @jeffmarc (Jeff) posts did not add much depth to the conversation except for some unneeded editorialization. This was disappointing since he obviously knows a lot. Still, the content was helpful, if not a bit aggrandizing and sprinkled with hubris. So, thank you as well Jeff!

Check out "Treating Lymph Node #ProstateCancer Metastases | #MarkScholzMD #AlexScholz #PCRI " on YouTube.

I hope all the best in our journey down this shared road!

We all agree with Jeff marchi. He s had PCA longer than anyone on this Forum. He s the man.