PSA rise

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Hi My husband was diagnosed with locally advanced prostate cancer 5 years ago. PSA 9.9 Gleeson 4+5 10 positive cores.Left inguinal node, left obturator node no metastatic disease. Had 6 cycles of Docetaxal chemo followed by external beam radiotherapy and brachytherapy boost. Had 3 years of LHRH injection stopped September 2024.. Since stopping we have 6monthly PSA readings which have increased slightly each time 0.34 latest reading.  We have been told nothing to worry about unless it approaches 2ug/L. However with a low PSA at diagnosis should we be worried about the 6 monthly increases although only small.

  • Hello  

    I agree with your husband's team, nothing to worry about.

    He's still got a prostate so there's still going to be some PSA in his bloods and his body will have been removing the dead cancer cells which still contain PSA so yes - it's quite possible for his readings to rise.

    It's normal not to take any further action unless he has 3 consecutive PSA rises or a rise above +2.

    I hope the above helps.

    Best wishes - Brian.

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  • Thank you for your quick response. I do feel we have seen only rises since stopping treatment even if only small. I guess we stay calm for the present time but mention the number of increases at our next consultation.  Your response was very much appreciated. 

  • Hi  , it’s not possible to draw a conclusion with such low readings and not being on HT.  If the trend continues, then even if some rogue cells are around, the view is, it is unlikely to show on any scans until PSA around 2.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Hello A65,

    I will be interested in what they say about the number of small increases after your next consultation. 

    I think David2017's comment hits the nail on the head  is correct  but  if you don't mind it will be appreciated if you can update us at the time as to what they say.

    Best Wishes

    Brian