Psa rise?

Hi Boki02/Jovan,

Sorry to see you here, but you are in the right place to get tons of information.  I am replying to keep your post at the top of the new posts.  

I am also facing more treatment after my PSA has gradually risen to above 0.2.  My next step is another PET CT Scan on 22/05/26.  The likely next step depends on if they find a tumour.  I do know the likely treatment, if they find nothing, is hormones and radiotherapy.  As you are in a slightly different place, that may be different for you - hopefully someone else will reply with a better informed answer.

We are all here cheering you on!

Hello Jovan (Boki02 ) 

A warm welcome to the online Community although I am sorry to find you joining us.

I am making a couple of assumptions here, do I assume you are outside the UK and you have been on yearly PSA tests?

The normal procedure in the UK is for a clinical review after 3 rises or a rise of +2 whole points. Whilst I agree you have a doubling time of 1 year I think you will need at least 1 more PSA test before any further treatment reviews are made.

I hope that helps.

Best wishes - Brian.

Psa every 3 months 4 rise psadt 10-11 months 0.2,0.25,0.31,0 38

Hello Jovan (Boki02 ) 

I think with the PSA rises being "small" but a trend your team will be considering if it's a biochemical recurrence or PSA "bounce" after Radiotherapy. 

if the rises continue the best course of action would be a PSMA-PET scan to see where the cancer is.

Best wishes - Brian.