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← Return to Rising PSA at 5 months post-RALP
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Rising PSA at 5 months post-RALP
Prostate Cancer | Last Active: 34 minutes ago | Replies (27)Comment receiving replies
@jeffmarc
What I am saying is that the PET scan is very sensitive in picking out micromets cancer locations and is one of the better if not the best tool for finding them. If it does not pick them up until it’s 2.999mm I don’t care. When your PSA starts to rise the doctor is not going to say oh, it’s on 1.99mm so we are not going to give you a PET scan. It shows up in the scan when it shows up. You get scans until something shows. It is not so much the size which you seem to be hung up on but the fact that the PET scans will find small metastatic cancers sites to zap with radiation. Metastatic cancer is defined as cancer that has spread from the original site. Ya can’t kill it without finding it.
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@clevelandguy
The problem is that most people who get PSMA pet scans after having surgery, and then having their PSA rise, Almost always find nothing. If they do have Mini metastasis, they don’t show up so they don’t know to treat them. That’s why they do salvage radiation so often. Same thing with radiation.
Some doctors will wait around until the PSA rises a lot, and they can actually see metastasis. You just can’t expect that PET scan to find them after initial treatment.