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Current PSA is .03ug/L after the last 2 readings were < .02ug/L
Should I be concerned about biochemical reoccurrence?
I was diagnosed with with 3+4=7 4 years ago.. had radiation and completed 2 years ofCasadex and Lupron treatments
I have been off Lupron for 18months…
Welcome comments before visit to oncologists next week
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You are still undetectable (below .1 is undetectable). Your rise in PSA is negligible. It may drop down next month to what it was before, PSA can bounce around a little.
Normally, nothing more is done till you hit .2, though since you had radiation 3 sequential rises in PSA can be considered time to act.
If your PSA Continued to rise they would probably put you on ADT to start.
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4 ReactionsAppreciate you comments.. need this reassurance
My layman understanding is that Nadir, or low point, of PSA after radiation as primary treatment (RT) can take time measured in years to reach.
And the Nadir for RT is higher than the target PSA after RP because there remains a prostate.
I am reluctant to "cite" numbers, however literature suggests that your PSA is still at a very low level.
Best wishes.
And I would defer to your RO for an analysis, which again, at .03, should be positive/supportive/comforting for you.
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1 ReactionGreat perspective…and reassuring…it is great to have feedback before the oncologist visits👍
Another resource that may be helpful is the free Patient Guide by the Prostate Cancer Foundation pcf.org available by download or hard copy.
The Patient Guide is in 2 parts, and the second part is a Guide to recurrence/rising PSA.
Since that seems to be your concern, if you download the Guide, Chapter 3, page 25, discusses PSA after radiation.
I hope you find this information helpful.