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Anyone had the same? PC - Micrometastatic recurrence | PSMA PET neg
Prostate Cancer | Last Active: Nov 28, 2025 | Replies (13)Comment receiving replies
As Jeff pointed out, they need to determine the velocity. I was treated once I hit .2 with a negative PSMA PET. PSMA is usually negative at your level and a and I would personally view it a waste of time for myself. I know mine will want to do a psma pet if I BCR again at .2 if for no other reason than they recently purchased a PET scan machine and will want to generate billing. Second opinion GU at a respected CCC suggested wait until 2.0 on my PSA and they will be able to find it and get it. In my area the monopoly private practice loves to over treat for revenue. I don't take this lightly as I was Gleason 9, Grade 5, stage 3a, T2, 10% 1 pin Crib. and if I BRC again will have some decisions to make. Currently undetectable post tx.
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@chippydoo
Gleason 9 here too, Chippy. I also heard wait until PSA of 2.0. Just got my last Eligard shot a month ago and my PSA is currently < .01 so all is well now. I'm not sure I want to wait until 2.0 with G9 but if the PSMA can't find anything what do ya do? My post RP PSA got up to .9 and the PSMA said I was clean but the bed area was categorized as (intense) whatever the heck that means. That's when my Eligard started.
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@chippydoo Thank you. Yeah, I feel like I was UNDER-treated and took a far too conservative approach by only RT to the prostate fossa. My RO swayed me against RT to the whole pelvis and after speaking to 2 other world class On Drs, I regret doing that.
Hoping for your continued success being undetectable.