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Did you start radiation immediately or wait until PSA was 0.2 ng/ml
Prostate Cancer | Last Active: Sep 4 11:26am | Replies (49)Comment receiving replies
This is exactly my issue. Gleason 9, bladder neck, multifocal, cribriform, LVI. So the cancer remains. Surgery was November 2024. Second PSA test was low but detectable - 0.02. Urologist is waiting for at least the next PSA on Oct. 1. I don't understand why we're waiting for radiation. I have a contact with an RO and I'm trying to schedule a consultation to get his opinion on what I should be doing. So frustrating.
Replies to "This is exactly my issue. Gleason 9, bladder neck, multifocal, cribriform, LVI. So the cancer remains...."
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Normally, they do salvage radiation at .2. At .02 it would make sense to wait for the next couple of PSA test to see if your PSA is actually rising.
The prostate cancer guideline Say that if you’re < .1 Then you are considered undetectable. They do not consider the ultra sensitive PSA tests in that decision. So you are undetectable therefore at this point, no treatment is essential, yet.
Your PSA could bounce around a little, That’s why your doctor wants to wait. I would ask for monthly tests, not wait till October.