← Return to PSA above 0 2 after RP in 2020 but psma pet scan is negative

Discussion
Comment receiving replies
Profile picture for web265 @web265

My story is a little similar although my PSA started up shortly after the RARP. I believe the theory is something like,

"there's obviously some cancer somewhere shown by the PSA rise, since we can't find it elsewhere, it's likely a small amount of cells in the pelvic area still."

My PSA was pretty low and PSMA PET was negative as well. I have an older chart posted by one of the guys here more educated on the subject, it indicates that with a PSA of less than .5 the detection rate is only around 38%. (this chart was produced in 2019). It's floating around here in a couple places but I'll post it again.

I did 39 treatments 30(ish) to the "pelvic area" and the last nine(ish) to the prostate bed alone. I also did two years of ADT (orgovyx). So far so good after three years post radiation and 15 mos post ADT.

Best of Luck to you!

Jump to this post


Replies to "My story is a little similar although my PSA started up shortly after the RARP. I..."

Waiting until psa is 1.0 makes sense in that i now know where the cancer is located with higher confidence and not applying radiation to healthy areas. However, then there is the risk the cancer has spread widely. Dr prefers not to take that chance as the treatment is even harsher

Kind of sucks, but it is what it is and I need to decide