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Rising PSA at 5 months post-RALP

Prostate Cancer | Last Active: 34 minutes ago | Replies (27)
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@jeffmarc

Thank you very much for your detailed response.

I do agree that the PSMA PET will help to rule out any possible spread, although it wold have to be significant enough to be picked up by this study.

I like your comment regarding normally not requiring ADT under my situation, if SRT is started on time. That is what I am hoping for. However, the Oncologist did lay out for me that, even though we are still waiting on the upcoming test results, ADT would be preferably required. I still need to go over this with him but I just need to have strong arguments to present my case for not wanting to have ADT, if this is really of no significant added benefit.

Thank you for the article and for the American Society of Oncology recommendations. At this time I am right at the 0.2 PSA value threshold but who knows what this value will be at the 5 weeks after this last test was taken, when a treatment decision will be finally made.

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Replies to "@jeffmarc Thank you very much for your detailed response. I do agree that the PSMA PET..."
Jeff Marchi | @jeffmarc | 2 days ago

@animate
When my PSA hit .2 3 1/2 years after my prostatectomy, I was put on a six month Lupron shot and Two months later had salvage radiation. I was a 4+3. The reoccurrence is one reason they like to put you on ADT to prevent further reoccurrences after. I never even noticed there were side effects to the Lupron shot. I went to work every day in my consulting business, and it didn’t slow me down at all. I am, however, one of the people that never had fatigue from any of the drugs. They didn’t know at the time I had BRCA2, That’s the reason it keeps coming back.

My brother was a 4+3 and decided on SBRT radiation. Again they gave him Lupron two months before treatment and then one more three month shot when the first one expired. He was 77 at the time and it was no big deal. His biggest problem was the hot flashes.

Different people have different reactions to ADT, Don’t be too afraid of a six month shot.

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