← Return to PSA - 17.1, are Lupron injections necessary?

Discussion

PSA - 17.1, are Lupron injections necessary?

Prostate Cancer | Last Active: Apr 11 7:23am | Replies (84)

Comment receiving replies
@glennh23

Hi Kevin, I am a 63-year-old man. I had my prostate removed in 2014 went for a routine PSA test this year and it came back pretty high Had an abdominal MRI scan which revealed it had gone into my lymph nodes awaiting CT scan within the next couple of weeks. Thanks for your concern and reading my post. we’ll have to see what the CT scan results are when itcomes back.

Jump to this post


Replies to "Hi Kevin, I am a 63-year-old man. I had my prostate removed in 2014 went for..."

define "pretty high..."

I had my surgery in March 2014 also, then BCR in September 2015.

If it has been almost nine years, that's an important piece of the clinical data.

If you still have your surgery pathology report, that would be helpful.

Also, any PSA tests over time, particularly ones this year.

I say this because there is clinical data such as gleason Score from the pathology report, PSA doubling and velocity times, what type of imaging may be best to locate any recurrence...

One thing to consider when you have the results from your MRI and CT is it may only show locations of recurrence within its capability, there is likely micro-metastatic disease too small to be seen. Thus, in your treatment decision, radiation alone may not be a good choice, you should discuss combining it with ADT for a defined period. There are clinical trials which say six months, others say 24-36 months.

Kevin