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How long after EBRT does the PSA bounce around?

Prostate Cancer | Last Active: Dec 16, 2023 | Replies (20)

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@scottyrussell

James, here’s some information to chew on. I had my prostate out in August 2015. My PSA stayed < .01 for just about 7 years before heading north to .1, then .5, then 1.0, then 1.31 and then 1.6. My PCP initially thought the rise in PSA was an anomaly. Well it wasn’t. Further tests came back and I have been diagnosed with an aggressive cancer. I was subjected to ADT(Lupron) and 39 radiation treatments. What I have learned over my so called journey is this, according to the Prostate Cancer Foundation any PSA over .2 you should see a Urologist immediately. What they don’t want to see is a doubling of your PSA IN A SHORT PERIOD OF TIME. If you have been .1 or .14, back to .11 I would listen to your PCP and/or see a Urologist. But right now it seems like you are ok, but again I’m not a doctor only a guy who just completed the radiation treatments and now waiting to see if the cancer was eradicated which will be another 12-18 months. Good luck with your journey. God Bless you and your family

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Replies to "James, here’s some information to chew on. I had my prostate out in August 2015. My..."

OK Thanks Scotty ! I sure appreciate your input . Im going for a PSA test today . I hope its less than 0.11 like last time . How did they test for the 'aggressive form' . My urologist thinks im going to be fine ....BUT he just drew blood for a DNA analysis to see if their was any mutations in the Genes with regard to cancers or other stuff like diabetes and sorts . My father passed away with prostate cancer ...so it runs in the family . Father passed away young at 67. He caught it late . Even though he was an engineer , he rarely went to doctors and was hesitant to go near them . It was discovered when his PSA was up near 20.5 , they did treatments for 6 years or more . It was a late diagnosis . Me on the other hand was going to a urologist 4 years prior to my diagnosis just for a urology check - as I was so afraid of it . In the 5th year the urologist said "lets get a biopsy , yoru PSA has been slowly rising and is now 3.2 at age 56( at the time) its on the high side , you may have the very start of Prostate Cancer , maybe" .Well, it came back as Gleason 3+4 on the biopsy and so this started my PC journey . God Bless to you and yours Scotty, and thanks for your help . James

Scotty , I reread your notes here . 39 sessions ? Holy ! , thats a lot . Why did I only get 22 ? Zero ADT as well . The Dr said I didn't need it , as I was at 0.14 at the time of the EBRT radiation . I asked him 3-4 times about the 22 short sessions and no ADT and he was confident I didn't need more . BUT , it did rocket down to 0.03 right away ....then started to climb back to 0.14 and now 0.11 . It will be interest to see what todays PSA brings . Gosh I didnt sleep last night and had some cold sweats too ! My father died of PC at 67 and I was his care giver . I remember shutting his eyes for the last time , like it was yesterday but it was 24 years ago now .... I know , the Dr's say things have changed ten times since then ....BUT I still worry . I am a introspective guy, use to studying materials, and worry a lot . I trust my doctors but only to a point at times . I chummed around with a few Med students in my university days , and they are only human and do guess at things all the time . Thanks for your help Scotty ! James .