Biochemical Recurrence: Questions about PSMA PET scan & radiation
After robotic RP in April 2019
PSA pre op 7.5
Gleason (4+5) pT3a evidence of perineural invasion , clear margins no additional treatment after RP
1 year later PSA began to rise from 0.02 ,in April 2022 PSA 0.12 and is now 0.25 doubled in around 3 months, when I spoke with urologist he said he wasn't so concerned about PSA doubling when smaller numbers are involved also that 0.4 was the number to signify recurrence ( I'm confused I thought it was 0.2)and also said if there is a recurrence it is most probably in the prostate bed and can be cleared up with radiotherapy. I Have been scheduled for a pet/psma scan for next week at a cost of 3000€ although he states there is only a 60% chance of locating it. I read that pet/psma scans can also cause damage to tissue and has the possibility to cause it to become cancerous,not sure if I should wait a little longer ,if nothing is found I probably won't be able to have another scan for 6 month's,
a bit of a dilemma,.