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Had prostate removed 2 years ago zero PSA now PSA 0.1 Dr wants to do r

Prostate Cancer | Last Active: Aug 25 12:23pm | Replies (24)
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Profile picture for perrychristopher @perrychristopher

Now that you've had 2 PSA increases in a row your Doctor will probably order a PSMA pet scan. If they don't see anything in this scan they'll probably order SRT to the prostate bed and possibly the pelvic lymph nodes. ADT probably not necessary, but depends maybe on your surgery pathology report. Sorry to hear about your rise in PSA. I would definitely request another PSA a month from your last test

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Replies to "Now that you've had 2 PSA increases in a row your Doctor will probably order a..."
squash05 | @squash05 | Aug 21 9:01am

I am 10 yrs post surgery. I was a 4-3, T3a. Zero PSA until yr 8, then .1. Last three PSA's were .4, .5 and .5. Two clean PSMA scans. My urologist is not recommending radiation until we know where it is, a recommendation I agree with, though he thinks most likely spot is the bed. There does seem to be support to radiate even with with a negative PSMA. https://pmc.ncbi.nlm.nih.gov/articles/PMC10774185/
I believe the sooner after surgery your BCF occurs the more aggressive your approach should be. My doc is basing his recommendation on the fact that it took 9 yrs for my BCF.
Good luck

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