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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: Apr 23 4:53pm | Replies (46)Comment receiving replies
@jeffmarc
I would think you get a PET scan after you have had treatment and your PSA is starting to rise again. Then take repeated scans until something shows. I never said that you should get a PET scan right after treatment.
Replies to "@jeffmarc I would think you get a PET scan after you have had treatment and your..."
@clevelandguy Dr Kwon seems to be in your camp; he doesn’t seem big on SRT based on PSA until you can see something on a scan - then he will treat THAT lesion.
But it begs the question: if you have a visible lesion do you have many more NOT YET visible and therefore, would not be treated?
In my own case, I wanted full pelvic SRT as soon as I hit 0.18 (6 mos Orgovyx as well).
My thinking was that hopefully - and that’s all we’ve got folks - any cancer was still in the bed and the nodes and I wanted to kill it before it left the immediate area.
If I waited and waited for something to ‘show’ on a PET scan (mine was negative at 0.18) maybe it would have made its way to a lung, a rib or some other distant area.
True, that can still happen, and then treatment will probably be SBRT - whack-a-mole - and ADT for a long time. Best,
Phil
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@clevelandguy
I didn’t think you were saying that. I know you know that you don’t do it until your PSA starts rising. Some doctors will start doing the scan at .2. They were talking about it at the UCSF conference. I went to yesterday. .2 PSA can show more things that I had suspected.
I do know one guy Whose doctor was having him get a scan every three months even though he had a .2. The doctor wanted to catch it as soon as it showed up.