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perrychristopher avatar

PSMA scan conflicting results

Prostate Cancer | Last Active: Sep 20 5:03pm | Replies (32)

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Whoa! You poor guy, your head must be spinning…
Every input says you should be fine, but that PSA jump is a real outlier and indicates need for treatment.
FWIW, I would do exactly what you’ve outlined - ADT, SRT and SBRT. You have no choice BUT to be aggressive!
Pay no mind to scans being ‘clear’; a scan is clear until it isn’t and we all know that this does not happen in a blink - it’s ongoing until it’s big enough to see and by then who knows where else it has gone?
You are covering all the bases - more than that you can’t do…hang in there!
Phil

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Replies to "Whoa! You poor guy, your head must be spinning… Every input says you should be fine,..."

Request PHI test - Prostate Health Index - more accurate & informative than PSA. Make sure you are of motrin, Tylenol, pain meds - scews accuracy. Request multiparametric MRI (mpMRI) then PSMA PET. Newest biopsy with lowest risk of infection is peritoneal biopsy & uses the mpMRI as an overlay for precision biopsy. #1 choice would be Proton Therapy if available in your area. If not - Brachytherapy. If receiving ADT see primary care doctor regularly to monitor, heart,liver, kidney functions & blood pressure - regularly throughout the process.