Recurrent prostate cancer: It's come back
In 2012 I had a positive Biopsy for prostate cancer. Initial Gleason score of 3+3. Chronology is as follows (w/Chart):
*Dec 2012 – Brachytherapy PSA score decreased to 1.0
*Completed 90-day PSA testing for 2 years.
*PSA lowered to 0.5. Physicians pushed my PSA testing to 6 months, then annually after year three (2015).
*In 2017 my PSA increased to 1.0.
*From 2017 through 2021 my PSA increased to 4.2.
*Feb 2020 Bone Scan, results negative.
*July 2020 PET, and Biopsy. Biopsy negative. PET imaging was inconclusive. Later discovered the Seminal Vessels were not biopsied in 2020.
*Oct 2021 additional PET and biopsy. Biopsy revealed cancer in one of the seminal vessels. PET scan was again inconclusive. Based on biopsy results, a salvage prostatectomy was scheduled.
*Dec 2021 PET Scan conducted with PSMA Trial AT CCA Seattle to locate any advancing cancer spread. PET scan was again inconclusive.
*Feb 2022 Salvage Prostatectomy
*Post-surgery pathology reports revealed no cancer in the seminal vessels or prostate. Meaning the Oct 2021 biopsy findings were a false positive.
*Post-surgery PSAs are 6.2, 4.9 & 6.1 respectively.
*Presently under 90 day PSA surveillance with a prognosis of hormonal therapy treatment upon PSA reaching level 10.
Anyone with similar experiences please share. Your information is no doubt invaluable.