When psa is really low or nondetectable can prostate cancer grow
Can cancer prostate spread or grow ... - Advanced Prostate...
Can cancer prostate spread or grow when psa is low
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Only if it’s a rare type.
So cancer tall ?.cancer stay at bay with a psa of let's say 1
It depends. That's high for a recurrence or persistent PSA
"a psa of let's say 1" Bob10
"That's high for a recurrence or persistent PSA"
Tall Allen, can you explain what you mean. Is it that a PSA of 1 means it is likely on the way back???
Bob10 didn't explain in what situation he is asking about - recurrence/persistence after prostatectomy? Recurrence after salvage radiation? after 2nd line therapy?
What long term psa levels would you expect after
1 prostatectomy
2 salvage radiation
3 2nd line therapy (what is 2nd line therapy)
4 first time radiation therapy
You want PSA to be undetectable after prostatectomy with or without salvage radiation, to reach a nadir below 0.5 after primary radiation, to be less than 1 after 2nd line therapies when there has been no radical therapy.
Sorry I'm not very educated about this tall .I was wondering I guess if someone could be newly diagnosed with prostate cancer and Mets some lungs.. Could the PSA stay at 1. For along period of time with just lupron and maybe bicalutamide
My highest PSA ever was 3.66, I have Stage 4 ductal adenocarcinoma with Mets to Lymph nodes, bladder, bones...
Yeah - ductal is one of those rare types. It makes it hard to monitor progression.
What about alkaline phosphatase? Does that indicate possible progression in bones independent of PSA?
TA...how will they monitor my progression?
As others have said, the answer is that spreading cancer with a low PSA is rare, but it can happen.
If you provide more information we may be able to provide you with more useful answers. How old are you? Have you been diagnosed with cancer? Have you been previously treated? What information do you have about your diagnosis (Gleason score, stage, PSA at the time of diagnosis, other biopsy results?)
Bet of luck.
Alan
Yes, it happens. This has been the case for my husband since at least 2017 (he was diagnosed in ‘09). Testing done at MD Anderson in November indicates that it’s [still] adenocarcinoma; he simply has never expressed much PSA (his highest was 15).
As a result, since spring 2017 he is scanned qtrly. Had been doing great, but recent worsening bone pain caused his MO to scratch Xtandi (he also took Zytiga), and last week he started chemo (Taxotere + Carboplatin). 🤞🏻
What kind of scans he gets? MRI or ct?
An annual brain MRI (from the get-go) due to skull mets, and qtrly. CT and bone scans (since learning that he no longer produces PSA).
Aren’t you worry about the qtrly ct & bone scans becuse of the radiation exposure? I am asked to do chest, abdomen and belvic CT and a bone scan and I am very nervous about the radiation, although I had done 39 sessions of SRT two years ago and don’t want to add more radiation, any thoughts please?
Somewhere in the past I heard or read of a doctor justifying regular scans with something like: "We are treating you for the cancer you have, not the one you might get down the road". I never much liked hearing/reading that, but it does make sense from a diagnostic/disease monitoring point of view.
Be Well - cujoe
Bone scan has minimal since they inject radioactive tracer or whatever they call it before scan. Would make my hand feel like it was on fire for a few seconds. And the often advice of don't go to the airport as you will set off their radiation alarms.
Hello again Bob
In my situation, I am currently completing 18mo’s of Eligard. My previous Urologist wanted to go 24 to 36mo’s. He’s my X urologist because I felt that he doubled as an Eligard salesman! My quality of life is in the gutter so my new guy stopped the treatment. We agreed to a plan to perform regular PSA tests @ 4 month intervials and as long as it remain low (constant 1.0 - 2.0 (as my T levels rebound {???})) and doesn’t all of a sudden spike (indicating possible cancer activity) , then we’ll call the treatment a sucess after (at-least) 2 years. I am expecting that at some point there will be more testing even if my PSA behaves but we’ll see!!
I’m sure there is an exception to every rule so, again, this is my story, my plan.
Summary as I understand it....PSA is an indicator. There can be false positives but Dr’s will allways eliminate the possibility of cancer. Especially with yours and my history. {Why wouldn’t we?!!!!}.
Low / No PSA [as a norm] means no cancer activity. Likely not the case once diagnosed though!!!
Jim