PSA rising after prostatectomy.

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Hi all. I’ve just had a call today from urology.  I’m being referred to to oncology. I was a Gleason 3+4 T 2. With a Psa of around 7 prior to op. I was told a few weeks after the op that my prostate biopsy showed cancer cells right up on the edge and that there were positive margins even though my consultant did not seem bothered by them only future psa ‘a’. Unfortunately 3 months after op psa was 0.11, now another 3 months have passed and psa today is 0.23. I was advised that if it went to or above the 0.20 then that’s when a plan of treatment would probably come in. Nerve sparing on 1 side was attempted, I wonder if this is where cancer cells may be left.  I’m Really cheesed off and worried that things  may just continue to go from bad to worse. Any advice or thoughts on treatments or where this might pan out? Thankyou.

  • Hi MWP welcome to the forum. I don't know enough about your query to answer with any sensible information. However, I know where there are lots of very knowledgeable folks and they will be along soon to offer some support and information for you. 

    gail

     
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  • Hi MWP, sorry to hear about your situation.

    I presume that the MRI didn't show tumour near the gland edge?

    Salvage Radiotherapy is now required to finish off the remaining cancer cells which may include HT.

    Still potentially curable which is the good news , hope all goes well.

    Best wishes 

    Steve 

  • Hi  , don’t forget that you are G7 so no panic.  Waiting seems counterintuitive but is the guideline.  It is frustrating but actually the longer it takes to get your PSA to 0.2 the better while on the other hand once you get there you can get a treatment plan.  Personally I would be happy to wait and have a low PSA. David