Good morning, all. Just thought I'd introduce myself as a newbie.
Diagnosed with PC May 20 after a PSA test of 4.79 (aged 63). Was being monitored as my elder brother had PC 3 years before me, so was having 2 yearly PSA checks.
Had TP biopsy under general and has Gleason score of 7 (3+4), T2CN0M0. Elected Robotic RP and had this in Jul 20 (with one set of nerves saved); PSA in Sep 20 was 0.01. Since then, PSA has been rising and got to 0.23 in Apr 22, so was referred for PSMA PET scan, which I finally had in Aug 22. Just had telephone discussion with consultant and he says that the scan didn't show any conclusive results with no definite target (PSA taken one week ago was 0.35). He says that they will repeat the PSA test in 6 months and possible re-scan me.
I was quite disappointed with the outcome (I've never had sight of my post RP histology report as the consultant just said that it was fine with no worries). I've not seen my latest MDT report and have never have any consultation with an oncologist / radiologist, so am just having to learn from FB support groups.
Would be interested if anyone has any suggestions as to where to go from here as the watching and waiting is starting to play mind games with me.
Thanks and good luck to all those on the journey (or living with / caring for someone who is).
Hi BB
Sorry to hear about the rising PSA, think there are couple on here been in same situation. Hopefully they will post.
Problem is that a PSA still so low it's not showing on scans that's probably why they are suggesting another in 6 months.
Probably Radiotherapy treatment is the answer but assume they need to know where.
I know that waiting is the worst part of PC, hope u get a couple of positive replies from others who have been in your position
Best wishes
Steve
Thanks, Steve. Must admit that the lack of information / certainty is the most difficult thing. From post surgery, when I asked about the histology report and was just told 'No problems ' to yesterday when the consultant gave minimal details of the MDT report, I find it difficult to cope with the lack of information.
By day, I'm an engineer and make plans and decisions based on evidence, so the information vacuum is challenging for me.
Hi BB,
Sorry to read about your current situation. I personally wouldn’t be happy about waiting 6 months for another PSA test. I would ask about an mpMRI scan and a different type of PET scan to see if they pick up anything. When I had recurrence in 2016 the MRI and the F18 choline PET scan picked up different areas of activity. The F18 choline scan is an older tracer now but it did pick up activity. The evidence is that the earlier salvage radiotherapy is started the better the outcome.
Ido4
Sorry, I had put a post on to thank all for the replies and apologise for the lack of response but it no longer appears to be here. My wife suffered a series of heart attacks and was admitted to hospital by ambulance at 0430 on Saturday. Since then, I've been trying to field all enquiries, keep the house going, visit her in hospital and take all requested clothing, together with a full time job. I've been monitoring replies by email on the phone but it's difficult to see the forums well enough to type replies. I have a telephone consultation booked with my GP on Friday to go through this. Thanks, all.
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