Brief background summary:
DX 12/09. I had a G 4+3 on biopsy.
Had RP. Failed that. Had SRT (IMRT). Failed that. Had HT (Lupron + Casodex). Great response, Enough to do HT vacations after a year. When PSA would start rising, did best scans at the time (C11 Scan at Mayo in 2014; Ga-68 PSMA scan at Umich in 2018). Each scan found 1 or 2 hot ext. abdominal node. SBRT each time. Very succesful in kicking down PSA. Once again, PSA trending up, except for a sudden drop (most recent one). Next PSA in 2-2 1/2 mos. If significant PSA rise, will do the Pylarify-PSMA sczn at U
So, thanks for reading my long-winded background summary. My simple question: We KNOW that post-primary radiation tx. one expects a bounce, maybe after 18-24 months. So what about SBRT in the post- curative bullets SBRT setting?
Oh, here are some recent post SBRT PSA scores. Talk about bouncing! Note most recent one. False hope? In short: how do I interpret this data? Is it just bounce around stuff like primary radiation or is it quit-farting- around-it's-time-for-scan/maybe HT maybe radiation. OR SOMETHING IN-BETWEEN.
06/21/22 PSA: 1.07
04/28/22 PSA: 1.48
1/27/2022 PSA: 0.87
8/27/2021 PSA: 0.47
4/27/2021 PSA: 0.37
11/27/2020 PSA: 0.4
6/23/2020 PSA: 0.38
1/27/2020 PSA: 0.47
11/15/2019 PSA: 0.75
8/14/2019 PSA: 0.59
5/14/2019 PSA: 0.21
Mel