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← Return to PSA detected after salvage radiation and prostectomy
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PSA detected after salvage radiation and prostectomy
Prostate Cancer | Last Active: Apr 3 4:59pm | Replies (28)Comment receiving replies
@aprapr My second opinion GU is recommending allowing PSA to rise to 2, not .2 stating he could find if I BCR again. Chairman of GU Dept. at a Comprehensive Cancer Center Hospital. This sets some on edge within the blog. There were discussions among this group about that level with the context being where do they treat if you have already had salvage in an area that couldn't be seen on a PSMA PET once hitting .2. I think the Prostate bed is the initial target when there isn't a "light up." I can't imagine going after that area again without solid information due to the side effects I am still experiencing 10 months post radiation. If the PSMA Pet doesn't show anything at this point I would want some additional testing.
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@chippydoo
When you get salvage radiation, they give you the maximum radiation for that area for life. They can’t go back into that area with radiation. They can use SBRT to zap metastasis in other areas.
A few doctors have recommended waiting until the PSMA pet scan shows something. Dr’s Kwon and Scholz Seem to believe in that. They don’t wait for it to get to two however, if your PSA hits one, the PSMA PET scan works quite well.