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Learned Something New Last Week
While meeting with my NP 3 months post IMRT and HDR treatment for Gleeson 4 +3, PSA 7.1 I learned something new.
When I asked if my 3 months post-treatment PSA going from 7.1 to 0.04 could be largely due to the fact that I was on my last week of 6 months Orgovyx/ADA therapy vs. the impact of the radiation.
She informed me that while the ADT does help lower the PSA...many men never get near zero after treatment even if still on ADT. She said "if there was any cancer present in your body...your PSA would be no where near zero. She said feel good about your prognosis."
I left my appointment feeling positive to be sure.
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On top of that, it can take years for all of the cancer to die from the effects of the radiation. Looks like radiation got most of it without having to wait.
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4 Reactions@capatov
Nice to read posts like this with positive information on status of MCC members.
Just a comment on those reading posts. Every lab is different. On some like yours they gave you a .04
My PCP at Mayo commented on my recent PSA of .10 He said that below .10 is considered undectable. I am not sure of your lab protocol on this but appears you are there.
Congratulations on your good news
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2 ReactionsThanks for this! I'm a year out from radiation and ADT and my PSA is .04 but I assumed it was because my testosterone is not returning as quickly as it should rather than actually having had success. This is very helpful.
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1 ReactionJust to clarify as I did not mention this in my initial post. I am being treated at Emory University Winship Cancer Institute as I live in Atlanta.
My new PSA was not taken by Emory but rather by a new PCP who took it in the context of my initial blood work. I did not expect the PCP to pull a PSA in his blood panel but they did.
Emory pointed out that their labs are more accurate than the average independent PCP lab and suggested my 0.04 post IMRT/HDR/ADT PSA might have been more like 0.01 if my blood tests were done by their labs.
I hope she is right!
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1 ReactionA very true statement. Makes sense to me- .04 PSA a year off ADT.
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