Rising PSA after Ralp and Salvage radiation

[ekirkland]

This is my first post on this forum. I got another PSA draw done yesterday and it went from 0.82 last August to 1.80. Prior bone, CT and/or MRI's (maybe insurance requires these first?) and then Aximum PET scan at 2.0-2.5. He is going to call me Monday to discuss things. The nurse (who called with the results today) said that he would recommend another PSA draw in 3 months, so I may be at the Aximum PET scan stage at that time. Things are picking up, but I'll take it one day at a time. I'm assuming that my profile with cancer history will show up with the post?

[Tall_Allen]

You should be talking to a radiation oncologist, not a urologist. You should have had salvage radiation back in 2019 when your PSA hit 0.1. Why are you waiting?

[ekirkland]

Here is my profile. I had salvage radiation back in 2015. 65 YO

Rising PSA-1.3 to 3.7 over 3 years

Biopsy-4/9/13; Gleason 7 (4+3) w/ ter. pattern 5; 6 of 12 cores positive, all on left side; PE present; stage T1c

RALP/DaVinci surgery 7/9/13

Pathology - prostate-24 grams, 44.5cc; Gleason-7 (4+3); 50% of prostate involved; PE present; margins neg.; no sem. ves. invasion; lymph/vascular invasion present; PNI present; lymph nodes not involved; pT3a, N0, M0

PSA – 10/13-0.01, 1/14-0.01, 4/14-0.01, 11/14-0.03, 5/15-0.05, 8/15-0.1

SRT – 11-12/15; 68.4 Gy in 38 fx

PSA – 6/16-0.03, 1/17-0.03, 6/17-0.0, 1/18-0.07, 8/18-0.09, 2/19-0.14, 8/19-0.24, 2/20-0.49, 8/20-0.82, 3/21-1.80

[Justfor_ in reply to ekirkland]

Based on your data, my best estimate is that you will reach the 0.2 PSA mark during the second fortnight of coming April.

[ekirkland in reply to Justfor_]

You mean 2.0 and not 0.2 don’t you.

[Justfor_ in reply to ekirkland]

Yes, of course, sorry for the typo.

Latest 5 samples rendered best curve fit (R=0.9989)