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← Return to PSA above 0 2 after RP in 2020 but psma pet scan is negative
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PSA above 0 2 after RP in 2020 but psma pet scan is negative
Prostate Cancer | Last Active: 1 day ago | Replies (17)Comment receiving replies
@knoyes01 My second opinion GU at a CCC facility said to wait until 2.0 and they could find it and treat it. Same concerns as you. I can understand getting radiation and ADT at .2 one time in the bed area as it isn't unusual for cells to leak into the area and seems a reasonable hunch. What happens if we have a .2 recurrence after that? And another negative PET Scan? Do we end up on ADT for life or do we wait until 1.0 or 2.0 and then get another PSMA scan hopefully with evidence of where the cancer is? If I have to end up on ADT for life I would like it to be evidenced based. These decisions are emotionally tough. Best wishes on your journey and if you are up to it I would be interested in what you decided and the outcome. Chip
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@chippydoo That’s a great point, Chip…what if after Strike 2, there’s another on the horizon?
I think at that point - even though I am prevention oriented and like to catch things early - I too would wait to see something more visible.
I would think (hope!) that the lesion(s) would not be in the bed/nodes but probably a rib or an area that can be zapped with SBRT. After that, you are in a prime position to see a drop - or not - in Your PSA and can either be done at that point or opt for a period of ADT.
These are really hard decisions and you have to do your homework; but many times it all comes down to your own personality and mind set…
Phil