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Non dectable PSA post Robot RP

Posted by kepasa @kepasa, Oct 5, 2022

Hello, what resource path can a post Robotic RP patient that had negative bone scsn, cat scan and MRI ( no pet scan taken to evaluate Oligio Metastases post surgically ? PSA 3.2 pre surgical, .01 < , .14<. .02, .04<nn/ ml.
All different modalities of PSA evaluation.

Gleason 8 , ashkenazic Brach 2 genome.
Tumor 1.4mm max dimension, not penetrating lining of prostate nor fat facia, negative margin on path , all 10 lymph nodes unremarkable as well as seminal vesicle
22 months since surgery
10 % of prostate cancer patients approx harbor metasasis in spite of undetectable psa
Input appreciated

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kepasa | @kepasa | Oct 8, 2022

I appreciate your reply and I need to clarify that all PSA numbers are listed as less than w/ Symbol (<) preceding PSA numerical value . Yes it appears minimal, but on thecellular level it begs the metastases question. Oncologists are not willing to have dialogue , I have been told cancer free,; I have asked what is the numerical value w/ no response from oncology,

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1 reply
Tom | @tom86 | Oct 8, 2022
In reply to @kepasa "I appreciate your reply and I need to clarify that all PSA numbers are listed as..." + (show)
@kepasa

I appreciate your reply and I need to clarify that all PSA numbers are listed as less than w/ Symbol (<) preceding PSA numerical value . Yes it appears minimal, but on thecellular level it begs the metastases question. Oncologists are not willing to have dialogue , I have been told cancer free,; I have asked what is the numerical value w/ no response from oncology,

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Unfortunately, when it comes to PCa, there is more they don't know than they know. They know a great deal, however, the knowledge is slow to evolve.

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2 replies
kepasa | @kepasa | Oct 9, 2022
In reply to @tom86 "Unfortunately, when it comes to PCa, there is more they don't know than they know. They..." + (show)
@tom86

Unfortunately, when it comes to PCa, there is more they don't know than they know. They know a great deal, however, the knowledge is slow to evolve.

Jump to this post

A complex matter , the varibles are vast in proportion to knowledge

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1 reply
Tom | @tom86 | Oct 9, 2022
In reply to @kepasa "A complex matter , the varibles are vast in proportion to knowledge" + (show)
@kepasa

A complex matter , the varibles are vast in proportion to knowledge

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Agreed. Which makes it difficult, (at best), to dictate what is universal for all.

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1 reply
kepasa | @kepasa | Oct 9, 2022
In reply to @tom86 "Agreed. Which makes it difficult, (at best), to dictate what is universal for all." + (show)
@tom86

Agreed. Which makes it difficult, (at best), to dictate what is universal for all.

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Each individual case is unique and universal fit is not a reality. It has been a learning experience as time moves forward.
Is there a blood test to see what tupe of pet scan may fit the Pca profile, as some wotk on one while not on another, cost and exposure needlessly to short radiation exposure in screening and some patients exhibit nothing . You have to be able to see so as to treat, ( oligio metastases) specks or large
Thanks for reply

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1 reply
kepasa | @kepasa | Oct 9, 2022
In reply to @tom86 "Unfortunately, when it comes to PCa, there is more they don't know than they know. They..." + (show)
@tom86

Unfortunately, when it comes to PCa, there is more they don't know than they know. They know a great deal, however, the knowledge is slow to evolve.

Jump to this post

Thanks for tech article on BCR and metasasis, much appreciated

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Tom | @tom86 | Oct 9, 2022
In reply to @kepasa "Each individual case is unique and universal fit is not a reality. It has been a..." + (show)
@kepasa

Each individual case is unique and universal fit is not a reality. It has been a learning experience as time moves forward.
Is there a blood test to see what tupe of pet scan may fit the Pca profile, as some wotk on one while not on another, cost and exposure needlessly to short radiation exposure in screening and some patients exhibit nothing . You have to be able to see so as to treat, ( oligio metastases) specks or large
Thanks for reply

Jump to this post

Decipher and other tests are headed in that direction.

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kepasa | @kepasa | Oct 10, 2022

I had RP , approx 22 months ago, pas is undetectable.02<
My testosterone had fallen to 180 pre RP. My PCPhysician ordered a testosterone level bothh free T3 and totsl total increased to 389.2 without any testosterone therapy. What can create this increase after RP robotic procedure and should I be concerned.

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