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My PSA climbed 02, .04, .07 .15 .21 had a RP 2 yrs ago PSMA negative ?
I am Lou, After 2 years after prostectomy PSA was undetectable
.02, .04, .07, ..15 to .21 oncology asked to do another PMSA
Results were good No Uptake No Cancer
Question, I go to RO tomorrow for consultation what happens if he wants to radiate prostate bed Is that common? Thanks for your reply!
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@pamperme Under normal circumstances, manning up is usually all it takes…but when your entire way of thinking is hijacked by an outside influence (ADT) you have to fight fire with fire.
You’re gonna get thru this👍!!
Phil
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5 Reactions@heavyphil Thanks Phil. That term of hijacked is the best description. It has total changed the way my mind works. Wishing you happiness always
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Lou Zavaletta
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Suggest you wait until PSA is above .50 at very least before taking another psma scan.
PSA level (ng/mL)
Chance scan finds cancer
< 0.2 ~20–40%
0.2–0.5 ~40–60%
0.5–1.0 ~60–75%
> 1.0 ~80–95%+
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1 Reaction@charlotte1216 I have a similar experience. RP in 2020. About 2.5 years later, PSA went from .1 to .28, .38, .42, and .78. The last 3 PSAs within about 3 months. My Gleason was 4+3, and at the time of RP, the cancer had spread to the bladder neck. When my PSA began to rise, they did a PSMA PET scan at .42 and found it had spread to the lymph nodes. I was told I was very lucky that it showed on the PSMA PET scan at PSA .42. Here is one study from URO Today - albeit from 2022.
Key Findings for PSMA PET Detection Rates:
PSA < 0.5 ng/ml: Studies show a detection rate of roughly 38%–42%.
PSA 0.5 – 0.99 ng/ml: Detection rates increase to 57%.
PSA 1.0 – 1.99 ng/ml: Detection rates jump to 84%.
PSA >2.0 ng/ml: Detection rates are very high, up to 86%–97%.
My point is that I would imagine they would repeat the PSMA PET scan if the PSA levels increase. My case now. After ADT, my PSA levels have begun to rise again, from .04 to .07 over the last 3 months. However, they won't repeat a PSMA PET scan until it reaches a much higher level. Wishing you the best.