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Being treated for Gleason 9

Prostate Cancer | Last Active: Feb 23 7:42am | Replies (46)

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Profile picture for ucla2025 @ucla2025

@mjp0512 Is your PSA undetectable on the doublet therapy? If so, how will they know where to radiate? I’m asking because my husband is on the same meds as you, his PSA is now .04 and the doc says he doesn’t think any significant lesions will show up if we do a scan. Whereas six months ago four “index lesions” were seen in the lymph nodes.

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Replies to "@mjp0512 Is your PSA undetectable on the doublet therapy? If so, how will they know where..."

@ucla2025 Not undetectable yet but hopefully soon. Last PSA jumped a little after IMRT, but the sample was taken only 5 weeks after completing radiation. Dr thought the jump was insignificant and possibly due to aggravation by radiation or just standard lab variance. Next test is in about 3 weeks so hopefully down to the magic undetectable by then. We'll see.

PSA is a pretty strong indicator of recurrence. Doc said that they won't scan again until/unless PSA rises a significant amount. In my case, that means a meaningful jump after the next test or a full point or 2 above 0.19 if that turns out to be nadir. Next PSA is significant because it is treatment start plus 9 months. GUO is looking for a new low number (nadir). Fingers crossed.

Ah...Spring. Used to be flowers and nature's rejuvenation. Now in means blood tests. bone scans, and Dr's visits, and back on the edge for watching numbers. So it goes in the PCa world...🤣🤣🤣