DX Feb 2014, Gleason 9, psa 10, 3tb. All scans have shown no metastatic involvement including pet/ct in April 2020. Treatment 42 fractions proton radiation June 2014 . Lupron 3mos prior and 6mos after proton therapy. Psa 3mos post proton treatment 0.1, 9mos post treatment 6.0. Firmagon started Dec 2016 with psa 20. psa to undetectable in 9 months. Firmagon continued until first holiday May 2019.
Psa began to rise April 2020 to .02 . Current psa 7.4. Urologist (specialising in pc) recommended by mo believes pc to be micrometastatic does not see need for another pet scan and wants to return to intermittent adt with firmagon only . my question is this aggressive enough treatment?
You need an oncologist if you don't have one.
I was referred to urologist by medical oncologist. Urologist is part of prostate cancer team, including oncologist at university medical center. Thanks for your reply