1st PSA test seven weeks after surgery

Posted by johndavis60 @johndavis60, 6 days ago

Hi All, this morning I did my first PSA test after prostatectomy. I had positive margins and will be doing ADT and radiation soon, but doctors wanted baseline psa first. Reading just came in at 1.1.
Isn’t that a bit high? They didn’t want to wait 3 months because I have pt3b and other high risk findings in biopsy/prostatectomy , although all 19 nodes they took out were negative. I already messaged my doctors but they may not answer right away. Don’t want to panic all weekend long.
Thanks:)

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johndavis60 | @johndavis60 | 3 days ago

In reply to @jeffmarc "Some doctors wait for three months to allow you to heal after surgery." + (show)

That’s what they told me too. My surgery was May 22 so the very earliest they would do radiation was late August.

johndavis60 | @johndavis60 | 1 day ago

Just met my MO for the 1st time. She ordered another PSMA PET scan which I will have on July 31. She will also start me on Firmagon shortly there after. She choose that drug because she said it will lower PSA the fastest, but said I could go on orgovyx after that if I want. Does this sound like a good plan to those here with experience? What’s the probability that I will see a lot of new spread since my PSMA PET Scan on 3/27 and prostatectomy on 5/22? All 19 nodes during prostatectomy were found to be cancer free.

jeff Marchi | @jeffmarc | 1 day ago

Firmagon followed by Orgovyx is a great way to do it. The NCCN recommends staying on ADT for at least two years if you have a Gleason 9. Your doctor can recommend the best timing for you.

There is no way to predict what will happen in the future for somebody with a Gleason nine, Or even a Gleason seven. That’s the thing with prostate cancer. Everybody is different but with no spread at all, you have a great start. Getting on ADT should stop your cancer from growing, How long is unknown.

The PSMA Pet scan will give you a better idea of what your treatment could be And what is necessary?

I know people who are Gleeson nine that are a decade past surgery, One guy in particular came into the online meeting at Ancan.org And he had a reoccurrence after 30 years, Gleason 9. Other people with the Gleason nine have the cancer spread quickly,