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This is about prostate cancer coming back after 20 years.
I'm 75 years young. I had prostate cancer when I was 54. The prostate was removed, I was cancer free for 6 years. Took a PSA test after the 6 years and it sowed a small rating. Took radiation therapy for a month and two subsequent PSA test were 0. Fast forward to July of 2019. I took a PSA test shat showed a rating of .75. I've a PSA test every 6 months since, the latest in April of 2023, the rating was now 2.65 up from 1.95 in the previous August. I have an appointment with urologist in August and am wondering if you could provide me with questions to ask? I'm also wondering if anyone can tell me if there are any other tests I could take to determine where the cancer is in my body? Thank you..
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I had surgery at 41 and it came back at 51. My tests were bone scan then mri scan then ct scan then psma pet scan. This was done to satisfy insurance. It wasn't until the last test did we find the metastasis areas, but I'm glad we took this route
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1 ReactionMy docs ordered a PSMA Pet scan before starting Eligard and then 39 Radiation Treatments to prostate bed..
I think I remember reading PSA score needs to be Around 3+ for PSMA to see a target?
Get on Zolodex tod stop testosterone Get MRI and PET scan Think long range Xtandi if needed
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1 ReactionPost radical prostatectomy PSA should be 0.. I believe for the bio reoccurrence event to be visible the PSA needs the increase
I have read some oncologist will order PSMA PET at 0.20 some 0.30..
different insurance have their specific guidelines to meet also..
Diagnosed @PSA 4.6 Gleason 9
Bio reoccurrence at 60 day post radical Prostatectomy
Have annual physical DR and PSA.. help educate your family
It is 0.2. I just got one 2 weeks ago and the PSMA PET SCAN showed a 9 mm lesion.
PSMA PET SCAN is the best available to show where cancerous lesions may be. Your best option in my opinion.
PSMA PET scan is a great tool (Pylarify or Gallium) and also Choline-11. However, not all prostate cancer cells uptake the sugar (or protein), but usually 85-90% do have uptake. My suggestion with imaging is to make sure that you know what each method is for, its strengths and weaknesses.
Also, insurance can sometimes dictate the requirements and/or sequence of tests, so be patient with yourself if your 'desire' isn't met on the first go at it.