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Chemical Recurrence Treatment Options

Posted by 820jsb @820jsb, May 11 10:51pm

I am 67. 7.2 initial PSA. Radical Prostatectomy in 2022. Recurrent in 2024. 35 rounds of Radiation in 2024. 18 months later PSA .2. (Early 2026) PSA .5. PSMA PET/CT (May, 2026) shows one "potential" lesion in iliac bone. Not confirmed. Also struggling w LONG COVID near symptoms. What are some of the options for treatment at this point? Would love any anecdotal histories. Advice. Thank you. Grateful for this community.

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lag | @lag | May 13 8:58am
In reply to @thmssllvn "@zmarkv Following the Condoleezza Rice paraphrase: 'Distrust and Verify' I inquired my inerrant (LOL) Dr. Google...." + (show)
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@zmarkv

Following the Condoleezza Rice paraphrase: 'Distrust and Verify' I inquired my inerrant (LOL) Dr. Google. The result used the singular MAYO clinic when asked specifically if Choline PET CT scans were available at one of the other sites. Had it been available at other sites the response could have been more transparent.

Incidentally, I had misremembered it's use. I had thought it was good for PSMA negative PCa rather than undetectable PSMA. Supposedly 10% do not light up. Possibly it was initial use after MRI detectable PSMA negative (10%)? I believe the newly FDA approved F18 version of Pilarify is useful for 0.2 through 0.75. Jump in and clarify my errant takeaways?

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@thmssllvn My husband is a Mayo Rochester patient of Dr. Kwon since 2011. Whenever the PSA goes up but the PSMA PET scan doesn't show new cancer, Kwon orders a C11 choline PET to look for cancer cells that don't express PSMA.

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