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Psa levels
I read an article that a new study show that an undetectable Psa level is not a true predictor of cancer not spreading that routine imaging should be done. Is anyone familiar with this new study.
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@diverjer
The PSMS-PET-CT study is pretty significant in the direction of their findings but they themselves acknowledge more follow up is needed. This infers image driven biopsy which dovetails with the ongoing studies leading it appears clinicians looking between PSA Driven or Image Driven treatment for BCR.
@asolidrock
Radical Prostatectomy or Radiation treatment
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Hug
1 ReactionAll it means is that no test is perfect.
Until another test is developed, PSA is currently the best (& cost-effective) marker to monitor for recurrence following primary treatment.
This also speaks to why it’s so important to use a full battery of tests pre-primary treatment so that the true nature of one’s diagnosis is known.
Well that is indeed a kick right in the Nards. Wheeee...... I have a 6 month Check up with my PCP soon and I will def get my PSA checked with them and my Urologist.
@diverjer
The problem with the first article is that many insurance companies will not pay for a PSMA PET scan unless there is significant cancer found in the biopsy. I suppose if it really comes down to a very extreme stuff found in the MRI they would do it, But even people with serious cases of prostate cancer and high Gleason scores, the MRI frequently shows too little, And the biopsy shows much more.
The radiation oncologist who spoke at the monthly Mayo Clinic meeting, mentioned the fact that he had only done four proton radiation treatments, in all the time it had been available there. As the article shows, it isn’t much better than IMRT for some people with milder cases.