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PSA detectable 18 mos after prostatectomy

Prostate Cancer | Last Active: Aug 10 4:52pm | Replies (85)

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I had RP in 2008 with no follow up treatments. Eleven years later my PSA results were rising every 3 months. It was recommended that I see a oncologist and after MRIs cancer was detected in the prostate bed. I began hormone treatment for 6 months while having 36 proton radiation treatments. My PSA scores initially were undetectable but that was short lived. They're now approaching a 4 at 3.84. Three PET scans have not been able to show any cancer yet. I don't particularly want to begin treatment unless a PET scan can show me where and what to treat.
Just don't be too hasty to begin treatment. Involve your urologist and a oncologist to listen and learn. Do plenty of research.

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Replies to "I had RP in 2008 with no follow up treatments. Eleven years later my PSA results..."

To add to my continuing PC battle, I had a PSA screening last week with a 5.25 result. Consulting with my medical oncologist, we are still under the notion of wait and see. I'm hopeful that another PET scan will either show a metastasis somewhere so we know a method of treatment. I will have another PSA test in late November by my radiation oncologist. A PET scan in February 2024, my 4th, did not yield a location of a metastasis.

My situation is similar to yours. I had RP in April of 2018, then little over a year later had 35 radiation treatments. Now my psa has doubled in 5 months. currently at .67. I want to hold off on hormone treatment as long as possible. Currently I have no symptoms, and my first pet scan came back negative. My oncologist wants to get a bone density scan and does not want to rush the hormone treatments either.