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Rising PSA years after radical prostatectomy

Prostate Cancer | Last Active: Mar 5 7:14am | Replies (206)
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@jrhamp

Proton radiation is early 2010 at Loma Linda, an early leader in the utilization of proton radiation therapy. At that time, PSA was 6.7; biopsy indicated cancer on one lobe of the prostate gland. From 2010 until 2016, PSA zero/0; beginning 2017, PSA was noticed at .4. As October 2020, PSA at 2.47.

Question: Does the return of PSA levels positively indicate a return of prostate cancer? As most know, the rule of thumb is anything below PSA of 4 is normal.

At this juncture, I plan to wait alitle longer, then head up the road to Mayo Clinic in Jacksonville, Fl for a review of the options. For example, can another biopsy be done?

Any comments from first hand experience is appreciated.

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lcashell | @lcashell | Apr 19, 2023

Regarding your post: Based on what I am understanding you still have a prostate. And, therefore you will be producing PSA. My prostate is gone. The whole kit and caboodle. My doc made it real clear that if any PSA shows up in my lab work that means that there are still cancer cells present in the body that are producing the PSA.

In my case, my prostate was shot. My Gleason scores were as high as they could go. 10's all across the board. (That's bad). While doing the prostatectomy they found that the cancer spread to other parts of my body, They did all kinds of stuff to kill it, but they made it clear the cells could still be present, but dormant. They could be anywhere in my body but just not active. Or should I say, kind of asleep.

Well, once they attach to something that they can feed off, they start producing the PSA again. So in my case, the cancer was never gone, it was in remission. Which, is a blessing, right?

Once again, I ain't no doctor, but your case sounds completely different. So yes, I would say you should be asking an oncologist some questions.

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