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Xtreme PSA bounces after radiation cancer or inflammation?
Prostate Cancer | Last Active: 9 hours ago | Replies (15)Comment receiving replies
@brianjarvis
Saw the video and it definitely is interesting. I wonder if, when they had that big jump, the PSMA pet was available. It definitely appeared to be unusual since he only had a couple of cases that had huge jumps.
In this case, we weren’t discussing treatment, however we were discussing getting a scan. You run into the other side of this issue where a metastasis may have actually come up, resulting in the significant PSA rise and looking for it was beneficial. That has definitely occurred many times with people I have heard from an online meetings. Prostate cancer, cancer, present, challenging Issues.
Replies to "@brianjarvis Saw the video and it definitely is interesting. I wonder if, when they had that..."
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@jeffmarc That video is dated 15 July 2021; the Gallium68 PSMA PET was FDA-approved in December 2020, but wasn’t available outside of UCLA/UCSF for quite some time (due to logistical reasons). (He does mention PSMA at timestamp 2:44, saying that “things like PSMA scans are becoming helpful in making those kinds of determinations…”. So, he was at least aware of PSMA.
As for being able to detect recurrent or metastatic prostate cancer due to a significant rise in PSA, the old military saying comes to mind - “You go to war with the army you have, not the army you wish you had.” (When I was diagnosed in April 2012, no PSMA; when I started treatment in April 2021, no access to PSMA (though I had read about it). I’ve always wondered……)