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PSA detected after salvage radiation and prostectomy
Prostate Cancer | Last Active: Apr 3 4:59pm | Replies (28)Comment receiving replies
@melvinw to your first question, his May PSA was < .10, Which I believe is standard test. All his PSA tests have been done at Mayo Jax. Next Retest of PSA will be last week in Jan along with PET CT, skull to thigh, PSMA scan. They will also be doing a comprehensive blood panel, including his testosterone level, which has not previously been done. I don’t believe he has had a DRE since he was first diagnosed in 2014. Thank you for sharing your experience. It certainly is helpful and I have a copy of your comments in my file for discussions with our medical team. Best of luck to you. I will provide an update when I have one.
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@aprapr Sounds like you have a good plan. I know your anxiety all too well, but also a PSA of 0.11 means you are on it as early as can be, if it is a BCR.
Dr. Patrick Walsh’s ‘Surviving Prostate Cancer’ book has some very informative tables in Chapter 12 regarding metastasis risk and odds of not dying from prostate when PSA rises after primary treatment. In your husband's case, the Gleason 7 score, the long time to recurrence (>3 years), and PSA doubling time greater than 9 months are all heavily in his favor. For example, with Gleason score < 8, recurrence >3 years after surgery and PSA doubling time of 9 to 14.9 months, the odds of not dying from PCa are 95% according to those tables. And those tables use data from men who did not benefit from all the technological advances of the last 5-10 years.
May the Odds Be With You and Your Hubby!