Psa after six months while lupron and casodex

[Katiafrench]

hello, what do you think? my father 69 years

2016 radical prostatectomy

pt 3b gleason 8

psa post op 0.24

3 months later 0.56

2017 radiotherapy that failed

psa a year later about 2

in september 2018: lupron, casodex

December 2018 psa 0.08

April 2019 0.11

[BarronS]

It's only a difference of .03, so nothing is going to be done. You can't even make an educated guess if he is already castrate resistant. I wouldn't worry about it right now. What you are going to look for is if it goes above a .2 and how fast it keeps increasing after that.

[Katiafrench]

My dad saw his urologist who told him that there could be psa fluctuations. It can take a long time to stabilize. Next blood test in 3 months and he sees the cardiologist in 6 months.

A tep scan was performed before the implementation of hormone therapy. Everything was ok.

I hope the next psa will be good.

Thank you for your answers.

In France, the forums on prostate cancer are not very alive

[Katiafrench]

Not cardiologue but oncologue. I'm sorry

[Tall_Allen]

That PSA change is too small to react to - in fact, he might switch to a less sensitive PSA test, which may create less anxiety. If PSA rises steadily, sometimes eliminating casodex may reverse the trend for a while.

[Katiafrench]

Thanks a lot for your answers. They reassure me a little.

It is true that these blood tests every 3 months are really anxiety. Especially since the beginning, the news is good only once in two!

[j-o-h-n]

Greeting Katia, You've come to the right place for information and camaraderie for your DAD.

Good luck, Good Health and Good Humor.

j-o-h-n Monday 04/01/2019 5:34 PM DST