PSA Climbing

[Dixiechopper]

my husband’s psa has been climbing for 6 months. He recently left the urologist he was going to and is now going to Roswell Park Comprehensive Cancer Center in Buffalo, NY. They ordered an mri, PSMA pet and biopsy. Nothing shows but his psa keeps rising. They ordered another PSMA pet for 2/16. Advice? He’s had radiation and adt Still has prostate

[FormulaRob]

Hey there; so nothing showed one these last scans but they are ordering more for him? Can I ask how long ago these last scans were?

You had radiation in 2020 according to your bio. How many sessions and maybe a PSA history. Assuming that he remained on ADT treatment ? And if so was he also on abiraterone ?

Hoping someone chimes in here but that extra info maybe could help too. Best of luck !

[Dixiechopper in reply to FormulaRob]

thank you

[FormulaRob in reply to Dixiechopper]

Also this post that I put in all caps COULD offer you something to consider. Not sure what the likelihood is of your husband being the same but at least it is another thing to go rule out at the very least.

BIOCHEMICAL RECURRENCE -NOW WHAT?

[Dixiechopper in reply to FormulaRob]

thanks again! I will check it out.

[Tall_Allen]

Does he have a history of prostatitis?

[Dixiechopper in reply to Tall_Allen]

Sent from my iPhoneLymphatics: No cervical or clavicular adenopathy.Results:Date PSA 01/12/2023 8.4708/11/2022: 4.2305/03/2022: 3.8610/25/2021: 1.3412/15/2020: 1.8603/25/2021: 0.5 08/16/2020: 0.3 (nadir)03/17/2021: 1.912/13/2019: 5.910/13/2019: 6.9.Assessment/Plan:Visit Problems and Assessment:1. Prostate cancer (C61): Status: ActiveA: Increasing PSA after RT. Negative biopsy and MRI September 2022. Negative PSMA May 2022.P: PSMA PET and Medical oncology referral same day as f/u with URS

He only had one round of Lupron end of December 2019 before RT

[Tall_Allen in reply to Dixiechopper]

Does he have a history of prostatitis?

[Dixiechopper]

None of the doctors have ever said that so I don’t think so

[ajok]

Al the way so far with this PC, it’s been similar for me. Multiple MRIs, PET/CT scans showing nothing localized (except for a few “lesions” on my spine that they zapped with radiation) everywhere they looked. And the PSA just kept rising and rising.

The medical oncologist told me, well, we know you have Stage IV CANCER. The problem is that it’s EVERYWHERE in you, not settling down in some places where we can get at it with surgery or radiation.

So we went the whole route of Lupron, Abiraterone, chemotherapy. PSA eventually got down to 1, then began rising again, much more quickly.

So now, almost the last shot: Pluvicto.

It’s been quite a ride in this rodeo.

[Dixiechopper in reply to ajok]

I wish only the best for you! This ride is very scary.