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PSA "undetectible" for amost a year

Prostate Cancer | Last Active: 17 hours ago | Replies (38)

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Profile picture for Jeff Marchi @jeffmarc

@carbcounter
The answer to this question Is based on the treatment the person received.

If someone gets a prostatectomy then the PSA should stay undetectable. If It reaches .2 It is considered a case of reoccurrence and should be treated with radiation. There are a few cases where people have reached .2 and it just stayed there.

When it comes to radiation treatment for prostate cancer, the standard is that they don’t treat until the PSA reaches two points above the lowest it ever reached following radiation. If after radiation, it hit .1 then they would not treat until it hits 2.1. It would make sense to do a PSMA PET scan after it hits 1 since it is more likely to show if a Metastasis is causing the rise.

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Replies to "@carbcounter The answer to this question Is based on the treatment the person received. If someone..."

@jeffmarc So they don't do radiation until two points higher, but they maintain or restart the hormone blockers much more strictly, I gather, that's really what I have questions about. I see questions here about this all the time.

As @soli says, after complete removal I can see the point.