PSA rising

[Drandma]

My husband’s PSA has been rising since October. He is scheduled to see his MO at Tulane in February. Is the PSMA scan sensitive enough at this level to detect where the cancer is located? Is there another scan that would be better? I’m sure he will be put back on ADT but he would like to know where it is before he begins hormone therapy again. We are starting a new farming operation (his partner just retired). It’s scary to take out such a large loan not knowing what he’s dealing with.

[6357axbz]

answer to your first question is yes

[Tall_Allen]

Whether or not the PSMA PET scan detects anything in the prostate bed or pelvic lymph nodes, he needs salvage radiation to be cured. (If there are any bone metastases he may do without it). He should discuss the following clinical trial at Tulane:

clinicaltrials.gov/ct2/show...

[Drandma in reply to Tall_Allen]

thank you

[Drandma in reply to Tall_Allen]

He had radiation to the prostate in late 2019 after his prostatectomy because it had escaped the prostate. Currently he is experiencing radiation cystitis with frequent blood in his urine. In January 2022 there was prostate cancer in the hilar lymph node that was not radiated due to possible damage to heart and lung function. Is he still considered “curable”?

[Tall_Allen in reply to Drandma]

No. The hilar lymph node indicates that the cancer is systemic. He should pursue systemic therapy.

[Drandma in reply to Tall_Allen]

Is that Lupron?

[Tall_Allen in reply to Drandma]

Lupron, docetaxel, second-line hormonals, Pluvicto ...

[RMontana]

Definitely a PSMA PET will find something at this level...if it were me I would move quickly to scan and find whats there. TNX

healthunlocked.com/active-s...

healthunlocked.com/active-s...

[Drandma in reply to RMontana]

thank you

[Teacherdude72]

With this doubling rate get in sooner to the doc.