Good Day, This morning I received a phone call asking if I can meet the Oncologist tomorrow morning. My psa has reached 0.2 which is the point slated in for review. It's taken 10yrs to reach that but recently it has climbed a bit more erratically although for 5yrs it's had ups and downs.
Last time we met I was offered immediate RT to the prostate bed or a psma scan then RT. There was another option to wait until it reached 2 which was then said might be over 10yrs away then go on hormones. It was said something else was likely to get me before then.
What I'm thinking of saying if the above still stands is to ask for a psma scan which will take 3 months and will coincide with my next psa test and then have RT perhaps in January.
Although an option might be early RT without a scan which I'm now feeling a bit more comfortable with or perhaps try to find an earlier psma scan if possible.
My Gleason was 4+4 but it's been such a slow rise I'm not sure if the relapse is.
It will be appreciated if anyone else has any thoughts on this.
Regards Peter
Hello Peter (pete2000 )
You've done very well to get to 10 years without any intervention.
As your Gleason was an 8 (4+4) and although your PSA increases have not been rapid personally I think it would be a waste of time and NHS money having a PSMA-PET scan as at 0,2 it's only got about a 30% chance of picking anything up.
I think if you waited for the scan and it didn't pick anything up your anxiety levels may increase - I think I would just take the radiotherapy and hope it does the business - as you say age is against you now.
Best wishes - Brian.
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