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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
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!
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Thanks for the wishes JC . In Canada , at least in my province of BC , I dont think we do a "Decipher test' BUT the Oncologist ordered up a DNA test for me just recently looking for mutations and other stuff . It takes a while to get test results back , so I expect them in 3-5 weeks . Both doctors seem positive about my case ( Urologist and Rad Oncologist ) they even said " James, you will die one day , but it wont be from Protate Cancer" . Shocking but reassuring at the same time. BUT how do they know? I asked my Urologist if he knew that I would have background PSA from 0.03 to 0.14 , then after radiation it went down to ~0.03 , then when I got back from overseas it went back up to 0.14 , then the last one was 0.11 . He said 'NO' I thought you would have zero PSA as the operation went well. Your prostate was small, PSA at operation time was 4.0 , and Gleason 3+4 , reason was small . He also said it appeared to him the 3mm breach on the side of prostate looked like it just happened with Zero cancer cells near the breach , lymphs, bladder or any other 14 samples he took for biopsy . He did comment at the very small breach site all cells were type 3 , which he said was the best case give the small breach . Thanks for the help JC ! Merry Christmas to you and yours . James .