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Anyone had proton therapy after prostatectomy?

Prostate Cancer | Last Active: Jan 31 2:31pm | Replies (22)

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Profile picture for Jeff Marchi @jeffmarc

I know it’s a difficult situation. The thing is, the PSA is being Produced by metastasis somewhere. If they can’t be seen, then they’re too small, or too new. It is somewhat unlikely that they are in your prostate bed that that’s where the PSA is coming from.

Some of the doctors like to wait until the metastasis show up and then zap them even though the PSA is rising. They feel that that takes care of the problem And you’ve already had salvage radiation so there really aren’t A lot of other options. Yeah, those SUV Max 3 guys are not exactly the culprits, they’ve grown up!!!

Hopefully, your next PSMA PET scan will find something.

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Replies to "I know it’s a difficult situation. The thing is, the PSA is being Produced by metastasis..."

Thank you for sharing your opinion. I will let you know when my case reaches some resolution.

Just one more interesting fact: According to Google AI, the sensitivity of PET/CT PSMA for PSA ≥2.0 ng/mL should be 95-97%. And I have 5.97 and nothing... Perhaps this could be caused by a large number of small targets. However, this is probably not entirely common—otherwise, the sensitivity would likely be lower, as these cases would reduce it.
Fortunately, the process hasn't been too fast so far. I had RAPE in April 2017...