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Any other methods Better than PSA to monitor prostate cancer?
Prostate Cancer | Last Active: Dec 12, 2023 | Replies (35)Comment receiving replies
Hi, my name is Rich. My Urologist performed biopsies after going from PSA of 4 to 6. Results were 2A PSc in 2 of 4 quadrants. His best recommendation was to have Prostatectomy. He said I could do radiation but if it came back later would be more difficult to treat. Proton Beam therapy was about 6 hrs away and required 8-10 weeks M-F treatments. My research indicated it was the least invasive and had very good results. I decided to take it out and be rid of it. Had undetectable PSc for 3 years. Then it doubled for 3 straight qtrs and settled at .15. It is now .31. Dr ordered PSMA/PET scan from head to groin & NO cancer was detected. Dr said I must be against the rule as a very high % with BCR would have shown cancer. We're now back to 3 month PSA tests. COMMENT: All throughout this journey I honestly don't & have never felt like I had caner.
Replies to "Hi, my name is Rich. My Urologist performed biopsies after going from PSA of 4 to..."
@rcockerell Best wishes and good news on PSMA/PET! Did you have a decipher grid run, I'm wondering if the would have been a good prognosticator?
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Rich:
My understanding is that PSA after RP that rises above .2 is indicative of BCR and the "sweet spot" for salvage radiation treatment is .2 - .4/.5
My initial postop PSA was .19 and I was referred to Radiation Oncology for salvage radiation including 4 mos short term ADT.
My PSMA PET scan post op was clear for cancer.
In my case, the thought was that PCa cells remained in the prostate bed/floor and possibly the pelvic lymph nodes, resulting in whole pelvic radiation (WPRT), including PLNs.
See SPPORT trial.
I am not a physician and my treatment was at Johns Hopkins.
Best wishes on being and continuing cancer free.