The following happened to me:
Had RP Feb/2017 - GS 9 ( regional )
PSA showed up within 1 month ( twice .81 and .83 )
Started ADT on May 2017 different hospital and with an RO
ADT treatment ( Lupron ) May 2018 began
PSA undetectable from late May 2017 until May 2018
T- Levels - 21s, thereabouts during the above time period.
Had 40 treatments of IMRT - started them on 9/6/17 with a CT done the day before that was clean. Plus bone scan ( my 2nd ) , that too was clean. RT ended on 10/31/17
Had 1st PSA after all of the above - it was 0.19 on 12/17/18
T- Level was 421 on 12/17/2018 from the low 20s in May 2018
Dr doing another PSA ( and I agree with-i guess )
The question I asked my Dr on 12/17/18 - is it possible that since the PSA is up because my T-Levels are now close to normal - before ADT in May 2017 they were 503 - May 2018 they were 29 - now on 12/17/2018 they are 421.
He said they should be zero since I had a RP ---- really????
They even told me at the start that their goal was to treat the path report, not the PSA - although I guess they go hand and hand.
I thought all guys that went the route I took as explained above had an RP and residual levels PSA that getting to a zero PSA was not the goal - some higher BCR level would now be expected after the treatment ( and wasn't ) this treatment I had ' Salvage RT " ?
Any thoughts - I'm a bit confused.
thanks for reading