PSA after RP and radiotherapy during ADT.

[adam1967adam]

I wish everyone a Merry Christmas. pt3bN1M0, 3 positive lymph nodes. Gleason 4 + 3 and 3 + 4. RP i LYMPHADENECTOMY in December 2021. 5 weeks after PSA surgery 1.18. He was at PSMA PET SCAN. Positive 3 lymph nodes detected. At the end of January, he received hormone therapy Resiglo. In March PSA fell to 0.54, in April fell to 0.02, in July 0.00. He had radiation therapy in August. After radiation and September PSA 0.02. In December 21.12.2021 PSA 0.04. I'm on hormone therapy all the time. I am concerned about this increase in PSA after radiation and during hormone therapy. Can you help me with your advice. Thank you.

[tango65]

The PSA is still low. You could discuss is you had whole pelvis radiotherapy with a booster to the identified lymph nodes and about having 2 years of ADT plus abiraterone.

[adam1967adam in reply to tango65]

Thank you.

[adam1967adam in reply to tango65]

I see you have a lot of posts. All the good recommendations and explanations help me a lot.

[tango65 in reply to adam1967adam]

Best of luck!!

[doc1947g]

I am all mixed up with your dates like 21-12-2022. RP i LYMPHADENECTOMY in December 2021. 5 weeks after PSA surgery 1.18,

At the end of January, he received hormone therapy Resiglo. In March PSA fell to 0.54, in April fell to 0.02, in July 0.00. He had radiation therapy in August. After radiation and September PSA 0.02. In December 21.12.2022 ,

I am writing this note on 03.30.2022

[adam1967adam in reply to doc1947g]

Excuse me.

[adam1967adam in reply to doc1947g]

Read it again, I think I wrote the dates well.

[doc1947g in reply to adam1967adam]

We are on April5th 2022, so 'In December 21.12.2022' s n the future.

[adam1967adam]

Yes, Thank you.