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Puzzling about PSA rise 7 years after prostatectomy

Prostate Cancer | Last Active: Feb 10 7:35pm | Replies (30)

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Profile picture for heavyphil @heavyphil

@brianjarvis I went thru a similar experience and my urologist (not the one who performed the surgery) said that many times ‘some’ benign prostate tissue is left behind in nerve sparing surgery…yeah, I scratched my head too at that!
But he said that it was such a small amount, it would never cause a PSA to zoom upwards; again, the velocity is the real harbinger of BCR.

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Replies to "@brianjarvis I went thru a similar experience and my urologist (not the one who performed the..."

@heavyphil Yes, even surgeons can screw up and leave “bits and pieces” of healthy and/or cancerous prostate tissue behind. Hopefully, that’s not too common.

Dr. Kwon talks about extreme cases of prostate tissue being left behind starting at about timestamp 0:50 of his presentation about recurrence (https://youtu.be/Q2joD360_pI).