Review of my clinical Hx: 68 y.o. good health. Pre-op PSA 31. Robotic RP and pelvic lymph node dissection 7/2019 (only two lymph nodes removed). Gleason 9 (4+5) Mixed acinar with extensive ductal features. T3a N0MO with 2 ECE no SV involvement. Margins negative. Color genetic testing + for NBN gene mutation only. Decipher score .82 (high risk)
Post Op PSA
By definition BCR 2/2/22. PSMA Gallium PET ordered. Insurance denial and after appeal/time approved and done 5/18/22. PET scan without ANY areas of abnormal uptake. I had anticipated need for salvage radiation with ADT. However, my last two PSA values are falling....... I am following healthy diet, reached BMI of 22, exercising, taking a number of "repurposed" medications and "complementary supplements". I will be seeing radiation oncologist for primary consultation in one week.
Looking for advise/input from this group prior to consultation. I appreciate the deep knowledge/experience of the members.