Ductal Adenocarcinoma and PSA

[leach234]

I was diagnosed with prostate cancer in March (PSA 5.2 )and had laparoscopic prostatectomy in April. Prior to surgery a full body bone scan and CAT scan of abdomen were done and were negative. Pathology showed 2 tumors. An Acinar adenocarcinoma Gleason 3+4 fully contained and a Ductal Adenocarcinoma Gleason 8 with small focal margin on prostate <2mm. Fat taken around Ductal tumor was negative for cancer. Pathology wast pT2. PSA tests at 2, 3, and 7 months have all been <0.02 which is lowest level local lab can read.

I read that PSA is not always a good indicator to determine metastasis when one has a Ductal Adenocarcinoma as the cancer cells give off very little prostate specific antigen.. Should I be getting annual bone scans and CAT scans to confirm cancer isn't spreading? How does one monitor Ductal variety of prostate cancer? Anyone have experience with this?

[Tall_Allen]

I agree that PSA is a poor indicator of progression with ductal. PET/CT may be more useful for monitoring treatment success than a bone scan/CT. I don't know if other biomarkers (bone ALP, PAP) are more useful than PSA.

[j-o-h-n in reply to Tall_Allen]

Two geniuses.

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 12/11/2018 9:37 PM EST

[j-o-h-n]

Two geniuses.

Good Luck, Good Health and Good Humor.

j-o-h-n Tuesday 12/11/2018 9:37 PM EST