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How long after EBRT does the PSA bounce around?
Prostate Cancer | Last Active: Dec 16, 2023 | Replies (20)Comment receiving replies
JC , thanks for your thoughts here . Yes, I had a prostatectomy about three years ago. Your right , My PSA should be at Zero ( here 'unreadable' is 0.008 ) , but it is hanging around 0.11 right now , down from 0.14 . I think the reason no PSMA PET scan was done is that I was well under the 0.4 that is needed to get a clear view of any progress ( so I was told) . the oncologist indicated I would get a PSMA Pet scan IF the PSA ever got to and passed 0.4 . When I got my 22 sessions of the EBRT , I had no ADT or anything else . I asked about that about 6-7 times too , as I thought it was weird . But I hear now that if your PSA is under 0.2 , you down really need ADT . Anyway , off to the lab tomorrow for a PSA test ....God I hope it's less than my last one at 0.11 ! . Take care JC and thanks for your time . I sure appreciate it ! James .
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VancoverIslandHiker, You will see here on MCC very reluctant to give medical advise. I do see you are in Canada with what looks like different medical practices.
In U.S. what I see is the PSMA is usually done based on the risk level of your cancer and the decision of your urologist, and/or oncologist and not PSA number. But even though I had a low risk may oncologist/radiologist at UFHPTI did a PSMA.
When I went for my initial consultation with Mayo oncologist/radiologist my Gleason worst was 3+4=7 and was given a intermediate risk. My Mayo oncologist/radiologist stated they do the hormone treatment (or recommend it) for everyone except those with cardiovascular issues. I think he was referring to those with intermediate risk and higher.
When I had the Decipher test it came back low risk and they changed their recommendation to no hormone treatments. What was your risk level? This is usually given at the biopsy time based on the biopsy results NOT PSA.
Is Canada is using something different as you say 0.4 is normal level of PSA. USA is using 4. My PSA was 3.75 still normal but rising every 3 months. As you can see my PSA was under normal but because of rising numbers biopsies ordered along with suspicious areas seen on MRI. The PSMA and bone scans were done to determine if had spread beyond prostrate so could be treated initially.
I wish you good luck James. Hope your numbers come back good!