← Return to Rising PSA number from 5.7 at Biopsy to 6.7 in 4 months with Gleason 6

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@kugrad1975

Causes of rising PSA from 5.7 in Dec 2022 to 6.7 in April 2023 to 7.7 in August 2023? 70 year old white male Diagnosed with Gleason Score 3+3 in Dec 2021. Oncotype DX test result was 17 ( used to determine risk of aggressive cancer. A score below 25 is good as I was told). Sought a second opinion from a National Cancer Designated University Hospital. Their pathologist agreed on Gleason 3+3. Decipher Test results were .12 on a scale of .01 to 1.0 which is very low for aggressiveness and risk of metastasis. Currently on AS, but am very concerned with the velocity and upward movement of the PSA. Have had 2 prostate biopsies with concurrent Gleason scores of 3+3. Radiation Oncologist at University Hospital recommended AS for now. Urologist suggests MRI analysis. Appreciate ideas and suggestions.

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Replies to "Causes of rising PSA from 5.7 in Dec 2022 to 6.7 in April 2023 to 7.7..."

Kugrad1975: I had Gleason 3+4 and 10.2 psa. I was 69 when I had MRIdian linac radiation. I am 70 now. One radiation oncologist suggested monitoring while the other 4 suggested radiation or prostate removal. My concern was that there was no data on how quickly “it” could grow and force me into possibly life long therapies, i.e. hormone treatments and radiation that might affect quality of life forever or for a long period of time. My brother waited too long to find out that he required both and he is desperately trying to get off the Orgovyx because of the side effects. Everybody reacts differently to medication, of course, but I was not willing to take the chance of wait and see, even though my Decipher test showed a lower end risk. We all have had “I wish I had”…moments in our life. I chose to attack it as soon as possible.