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Ultrasensitive PSA Test Post RP
Prostate Cancer | Last Active: Jan 10, 2023 | Replies (40)Comment receiving replies
We were told .2 (with confirming timely retesting) means reoccurance and it is not wise to wait for .5 as that indicates spread rather than local. However; also informed scans are unlikely to 'catch' anything until .5. We had multiple opinions from support groups as well as 3 different 'centers of excellence' including Mayo and they indicated jumping on it with SR may be the best chance to catch it before it has spread. The consensus was not to allow it to get that far (i.e when it shows up on a PSMA scan) before starting localized treatment. The goal was cure rather than allowing for it to metas.....
Thank you for your opinion.
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What you say is definitely a good way to look at it and decide.
It does make sense to hit it early...as I said, only makes sense to wait if imaging will change the treatment plan.
If the decision is SRT to the prostate bed only, that I would hesitate doing based on Mayo's own data.
It was a decision I let my medical team make when I had BCR, ignoring the data emerging from clinical trials
When that failed and I had to do ADT, chemotherapy and radiation, well, mono therapy was a word that I deleted from my decision making. That and I added shared decision making.