PSA increase

[alm3azb]

Hi

Im on zytiga and perdisone

My psa on 1st of october was 0.086

1st of december 0.104

Should i be worried ?

Thanks

[alm3azb]

Diagnosed in 2018-Feb G9 PSA 75

Lymph nodes only no bone mets

Since then zytiga + ped and lupron PSA dropped to 0.08

Took 1 month vacation in july increased to 0.1

Then back to same meds

Did the gene test, Dr said nothing found

No radiation no Chemo

[Tall_Allen in reply to alm3azb]

Why have you not attempted curative therapy?

[alm3azb in reply to Tall_Allen]

What do you mean by curative?

Im hitting it hard as they say doing zytiga when first diagbosed

I talked to my doc regarding brachytherapy and he said its not worth it due to QoL but hes not against it

He also said he would set and appointment with a radioligist in FEB

[Tall_Allen in reply to alm3azb]

cure= getting rid of all the cancer. Yes, radiation may be curative. Brachytherapy alone is certainly NOT curative, but external beam with a brachytherapy BOOST to the prostate may be curative.

[GP24]

Having advanced prostate cancer is worrying. All you can do is wait and try not to worry.

[Tall_Allen]

No.

[FCoffey]

A PSA less than 1 while you have your prostate generally suggests a very good response and a good prognosis. I'm not a doctor and can't interpret your specific results. A 12% change in PSA is barely in the range of what I call significant, but my overall numbers are much higher.

As GP24 said, just having advanced disease is worrying. Try not to add stress over small changes in just 1 or 2 readings. If PSA keeps going up over time your doc will want to talk about it and perhaps make changes.

One of my doctors told me "It's just a number! Worry about how you feel and what you are going to do to get better, not about single blood tests!"

Good luck!