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My PSA climbed 02, .04, .07 .15 .21 had a RP 2 yrs ago PSMA negative ?
Prostate Cancer | Last Active: Feb 24 9:59am | Replies (45)Comment receiving replies
I'm going to try and make a long story short. My wife was diagnosed with Cancer in 1994. While she was under treatment we got to know the Chief of Radiation Oncology for NW Ohio.
When I had to have my Rad Pros in 1995 my spa started climbing after a year. Believe it was 2.
My Urologist didn't want to do anything and rattled on about quality of life etc.
At one of my wife's treatments her chief Oncologist asked how I was doing as he knew about the PC.
When I told him my psa was climbing he suggested salvage radiaton of which I elected to do.
My urologist was so incensed that he would treat one of HIS patients he went to the Chifs practice and confronted him face to face.
After that I dumped my Urologist.
I'ts been 30 years since my Salvage Radiation. I'm 70yo now. I firmly believe that had i NOT gotten Salvage Radiation I wouldn't be her now.
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@denkea
This sort of shows why urologist should not be involved when the cancer comes back. The American Society of clinical oncology says that you should have salvage radiation at .2 and at .5 you should also have ADT if you waited.
That urologist apparently never kept up with standards of care. You really got lucky having a radiation oncologist you could work with directly.
One of the doctors in the ancan.org weekly advanced prostate cancer meetings, was treated by a urologist who ignored his rising PSA. By the time he realized that he was being neglected, he had a Gleason nine and metastasis spread. Fortunately, he was able to get it treated and is still doing OK in his mid 80s. Even a doctor can be misled by urologists that don’t keep up.