After my brachytherapy in 2011, my PSA dropped to 0.1. Then between 2015 and 2016 it rose to 1.8. Second biopsy in 2016 found cancer in extraprostatic mass. ADT and cybeknife brought the PSA down to undetectable, which stayed there until April 2018. Then it started rising very sharply: April 6: 0.2 , July 13: 0.9, Aug 28:1.3. My question is can this increase be due to prostatitis. Only symptom I have is slight occasional burning during urination, which may due to radiation treatment. My prostate size has remained small after brachytherapy.
Can increase in PSA in my case due to... - Advanced Prostate...
Advanced Prostate Cancer
My guess is the burning is due to inflammation. I would suggest Modified Citrus Pectin or Tumeric for that. If you had cyberknife after 2nd biopsy, in 2016, I would guess you should have been past radiation effects in terms of burning during urination.
As far as the increase in PSA, you said cancer showed up outside the prostate. That would explain the PSA pop. The increase could be due to either cancer outside of prostate or inflammation. Take care of the burning and then see what happens to the PSA.
When your PSA reaches 2.0, you can get an Axumin scan.
Allen, do you know what the minimum PSA is before Medicare will pay for an Auxumin scan?
Do you know if they have any other criteria for an axumin scan?
I think all you need is a rising PSA after initial treatment. My MO said that I need to have a CT and BS scans that are both neg for mets before an Axumin scan is approved. Both my CT and BS were neg and I had the Axumin about a month later. Never had any problems with Medicare. All bills were paid.
Axumin is only approved for RECURRENT PC after primary radical therapy - either surgery or radiation. After surgery, recurrence is defined as a confirmed PSA≥ 0.2. After primary radiation, recurrence is defined as nadir + 2.0.
In my case, primary radiation ( brachytherapy in 2011) was followed a secondary radiation ( cyberknife in 2017 for extra capsular extension). Does the same criteria apply in my case?
How is recurrence defined after HIFU? Would it be analogous to radiation, since the prostate is still there?
That's one of the problems with focal ablation - no one knows how to define biochemical recurrence or even if a single definition is possible. The Stuttgart definition (nadir + 1.2) has been used but is wrong about clinical recurrence about half the time. It is most likely different for each individual depending on the extent of ablation and how much of the cancer was represented by the index lesion.
whats a axumin as far as i know i don't see medicare paying for anything unless its proven u have cancer. the aver psa on normal men is 0-4.0 if your is 2.0 i don't see ss paying for any treatment because you fall in the normal area. charlie
My PSA was 2.7 -- in the 'normal area'. DRE turned up an abnormality and follow up biopsy indicated Gleason 8 in 5 of 12 cores. PSA alone is therefore not a reliable indicator of disease. Actually Gleason 8 in one, 6 in another, and 7 in the other 3 positive cores.
in my case with radiation a cell or two got outside and now 10 yrs fighting the cancer. if thats the case your fine move on with treatment and u most likely got more then 10 yrs or longer depending on your age
first of all why are u worrying about a psa not even 2.0. do u know the average of men know matter there age is 0.0-4.0 your not even above the normal range so back to sleep just have a psa every year then worry if its really high dude
What you are talking about may apply to men with no prostate cancer. I was diagnosed initially with a PSA of 3.4. After my brachytherapy in 2011, I has recurrence in 2016 with a PSA of 1.5. After my cyberknife and ADT in 2017, myPSA remained undetectable for a year. Then it has started rising rapidly with a PSADT of about 2 months.
Not what you're looking for?
You may also like...
Hi, I'm a 57 year old with unconfirmed prostate cancer. My psa has been elevated for 14 years and...
in Sep 2016 was normal. In January 2017 surprisingly his PSA rose to 0.9 from one lab, and to 1.8...
with brachytherapy in 2011 followed by Cyberknife and ADT for an extra-capsular recurrence in...
history- gleason 7, PSA 3.2 in 2007.
Proton beam 2008. PSA .1 until 12/2016 .-
PSA 2.7. 1/2017-...
father(age 69) diagnose with Prostate Cancer on 16th Mar 2019, his PSA was 3045 ng/ml(ref range 0.00