PSA Increase

[Mojar]

Right now I'm at the hospital due to severe lower back pain and stomach pain. My MO ordered full abdominal ultrasound sensing that it was acute appendicitis but all was clear. What they found was well defined, thin walled cyst in the right lumbar region in contact with the inferior margin of right kidney and adjacent bowel loops that show multiple thin septations. Tommorow a CT scan will be order to see a clearer picture on the cyst. MO also ordered PSA and to my surprise it was .170 from previously <.006 for 2 years I'm still taking bicalutamide which I now plan to stop. Am I officially metastatic with the sudden increase of PSA or does the pain Im experiencing right now has something to do with the increase? What would be my next step aside from stopping the bicalutamide?. See my profile for further info on treatments done. Thank you

[tango65]

Cystic metastases of prostate cancer are a very uncommon event and a PSA of 0.17 is pretty low. Wait to see what they find in the CT scan.

[Mojar in reply to tango65]

Thanks tango65. There was actually only one cyst measuring 6cm that has been existing even before prostatectomy. Its only now that they saw small multiple cyst. They will perform CT scan to see where the cyst is attach.

[bluepacifica]

Hope all goes well for you! Keep us posted. Aloha!

[Mojar in reply to bluepacifica]

Cyst (approximately 1 liter) has been successfully removed together with my appendix. After fully recovering I will be checking my psa again if increase continues . CT scan showed possible bone mets. I'm just puzzled bec my bone scan last June was clear. So might do PSMA pet scan by Nov.

[bluepacifica]

Stay on top of it. I know you will!