Can PSA be determined from the blood ... - Advanced Prostate...

Advanced Prostate Cancer

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Can PSA be determined from the blood clots that are produced in from radiation cystitis?

Lyubov profile image
7 Replies

Hubs had RARP 2014; IMRT & ADT 2016 for recurrence. He's now experiencing low but increasing (doubling) PSA. Simultaneously, having second bout of radiation cystitis, using Foley to dilate urethra. But blood clots are being produced. Just wondering if that sloughed off tissue (from bladder/urethra) could be biopsied for PCa?

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Lyubov
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7 Replies
Tall_Allen profile image
Tall_Allen

PSA is in the serum. As for PCa, it is unlikely that they will find any in the blood clots and sloughed benign tissue.

Lyubov profile image
Lyubov in reply to Tall_Allen

Thank you, TA! Clearly, I don't understand. So it's benign areas damaged by the radiation that don't completely heal. . .

Tall_Allen profile image
Tall_Allen in reply to Lyubov

scar tissue, yes.

Lyubov profile image
Lyubov in reply to Tall_Allen

It's the cancer beast. But this side-effect we didn't expect at all, not really stressed when the IMRT + ADT administered. He struggled terribly with the ADT side-effects, so this comes as a delayed "bonus." I do appreciate your clarifications. Thank you!

tango65 profile image
tango65

Since he has a prostatectomy, the prostatic urethra is gone, I doubt any PC could be present in the blood clots or tissue coming from the bladder.

Lyubov profile image
Lyubov in reply to tango65

Thanks so much.

tango65 profile image
tango65 in reply to Lyubov

Best of luck!!

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