Steady PSA no uptake on PSMA SCAN

Posted by firespooks @firespooks, Oct 3 4:27am

I had a Prostatectomy in 2006 then Salvage radiation in 2013 , for a recurrence. My PSA has slowly risen until 2021 . It has stayed around 1.12 up and down slightly for the last several years. I just had a PSMA and it didn’t show any uptake. What does all this mean ? Im not on any medication at this time.

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bearcat998 | @bearcat998 | Oct 9 8:06am

In reply to @jeffmarc "The fact that your PSA isn’t rising is a good thing, Regular prostate cancer is apparently..." + (show)

Wouldn’t that be pretty rare without ADT?

Jeff Marchi | @jeffmarc | Oct 9 11:04am

In reply to @bearcat998 "Wouldn’t that be pretty rare without ADT?" + (show)

@bearcat998
Not sure quite what you mean.

Neuroendocrine prostate cancer Can occur with or without ADT.

If somebody’s PSA rises a little bit and doesn’t rise significantly for a long time, it could just be that They are in remission.

bearcat998 | @bearcat998 | Oct 9 2:55pm

Ok. I thought NE generally developed after a long course of ADT. I thought it was pretty rare.

surftohealth88 | @surftohealth88 | Oct 9 3:02pm

In reply to @bearcat998 "Ok. I thought NE generally developed after a long course of ADT. I thought it was..." + (show)

@bearcat998
Yes , they are very rare in both cases, but bigger % happens after long term ADT and with very advanced caner.

martyg | @martyg | Oct 10 9:21am

I have a PSA 7-9 for the last 4 years.
And also have a extremely large large prostate. 73 years old, no symptoms at all ( happy)

Jeff Marchi | @jeffmarc | Oct 10 10:45am

In reply to @martyg "I have a PSA 7-9 for the last 4 years. And also have a extremely large..." + (show)

@martyg
A friend of ours had a huge prostate and his PSA was always around 50. He had multiple biopsies and never found anything. He died of a completely different type of cancer.

Sounds like you’re doing just fine.