Recurrence after rp doubling times

Hi MH

I assume that always been at about' .02 after surgery so could just be a one off, ok more than doubled but still very low.

I think that they don't normally do further scans until reached .2 not .02.

Possibly because nothing would show up.

So perhaps push for another PSA fairly soon, also salvage Radiotherapy still an option at some point.

Perhaps others will come forward with their ideas 

All the best

Steve 

Thanks Steve

Was 

0.01 for 32 months then 0.02 six months ago now 0.06 six months later.

Ok then, so just wait for one more and then if another  increase ask them what's to be done although perhaps u have already done that.

Like I said earlier there are still plenty of options 

I realise it's the waiting that gets to you, hope all goes ok

Steve 

I am 72 years old and was diagnosed with localized aggressive prostate cancer Gleason score (4+3) 7. I had a PSA 0.38 6 weeks after robotic prostectomy on April 1st and latest test mid September showed PSA 1.82. PSMA PET Scan revealed 3 microscopic cancer cells outside the surgery bed in the lymph nodes which puts me in the stage 3 cancer stage. Metastasis cannot be ruled out at this time. I will be undergoing 33 sessions of IMRT after mapping exam on October 6th. I never thought I would be going through this so soon after surgery. All I've heard since my initial diagnosis is how slow moving prostate cancer is and about all the great advances they've made in treating it. Yet here I am. Keep a close eye on your numbers and trust yourself in your decisions and plans. Good luck on your journey.

Hello Dowaywil 

I am so sorry to see you joining us and can understand your frustrations at the surgery not working out.

Yes they have made great advances in Prostate treatment BUT with surgery once they are in there there is the chance the "little bastards" can escape.

It sounds like your team are on top of your case so can I just point you towards this thread which may help you during your radiotherapy

 What you wish you had known before starting Radiotherapy? 

I hope reading this thread helps.

Best wishes - Brian.

I've just gone through this. PSA was <0.03 after surgery but went to 0.5 at the next test, last year.

Had salvage radiotherapy in March April this year. First PSA was 0.04.

Second test this week, <0.03 so well pleased it's stable atm.

Thanks for the welcome Millibob and your attached thread was interesting. My treatment facility is 75 miles away and no place to stop in-between. That adds something important to my planning. You're help is appreciated.

Always good to know when people have positive results and a good outlook. Thank you;

Dowaywil,

I am sorry to hear that you are having to have early salvage RT which I have had this year too but do not know if it has worked yet.

I was given the same 'reassurances' that  PC is 'slow moving', 'waiting six months for surgery wont reduce the success rate' and other platitudes and cant that ring completely hollow now.

Are you having Hormone Treatment in addition?

I was told I did not need it as my PSA was below 0.5 above which I think they still recommend it.

If you want to compare notes I am happy to chat or on a private message basis if you prefer.

Good luck for your treatment.

Albert

As others said, most places won't do anything yet, but I would ask to go to 3-monthly PSA testing.

It's unlikely any scan will pick anything up yet - the PSA test is more sensitive than any scan. A PSMA PET scan generally need at least 0.2 or 0.5 (depending on the sensitivity of their scanner) to have a 50% chance of showing anything, and the higher it is, the more likely a PSMA PET scan is to find where it is.