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Being treated for Gleason 9

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

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@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...🤣🤣🤣

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Replies to "@ucla2025 Not undetectable yet but hopefully soon. Last PSA jumped a little after IMRT, but the..."

@mjp0512
After radiation, the PSA can jump around. I know people that have taken three years before their PSA hit the bottom. The rule is the wait until the PSA hits two points above the bottom it ever hit. As soon as it’s been after your radiation, you really do need to wait a while before you decide to have hit bottom and started coming up. The two point rule doesn’t illuminate having a PSMA PET scan if your PSA hits 1.

What your doctor has decided really is the standard of care most doctors would follow.