PSA Tests

[Polaris1]

Every 6 months, I get a standard PSA test (following surgery and radiation four years ago) and it is "undetectable". Under what conditions is an ultrasensitive PSA test useful?

[Tall_Allen]

Never useful since this 4 years ago:

prostatecancer.news/2019/09...

[Justfor_]

Only for your personal information, as your next treatment, if/when progression gets observed, will be systemic ADT that the typical SoC MO will kick off at a much higher PSA level.

[TTJJ1]

I have had 5 infusions of Pluvicto and scheduled for my 6th in four weeks.

Before first infusion my PSA had risen to 68.37. My last PSA was taken the day before my 5th infusion and PSA was 6.39. I am scheduled for labs this Friday. Labs are done three weeks after infusion and day before infusions. My last PSMA-PET indicated "significant response" to the Pluvicto. Do not hesitate to reach out if you have any questions.

All the best to you

TTJJ1

[NecessarilySo]

I agree with Tall Allen...more than one number after the decimal point is unnecessary. People seem to get worried about tiny fluctuations, although they are usually meaningless. A rise from <0.1 to 0,2 is meaningful for those with prostatectomy, while a rise to 2 or more is meaningful after radiation therapy, to my understanding.

[j-o-h-n]

to show off here............

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 09/28/2023 6:11 PM DST

[RMontana]

Polaris1, uPSA (ultra low PSA) has some benefits and has been the subject of study in PCa patients. These are the LINKS that I have developed, use and that may be of interest. Basically, if you use uPSA you can predict the onset of BCR (biochemical recurrence) 12-14 months early...you can see it coming. But, then again, it may not continue to rise to the level of failure. I you use the basic testing which only shows PSA at <0.10 then it may give you some peace, even though a BCR event is coming in the background...your choice. Knowledge can be a good thing, or if you worry too much then just wait and let it develop, then deal with it...here are some LINKs...Rick

healthunlocked.com/active-s...

healthunlocked.com/active-s...

healthunlocked.com/active-s...

healthunlocked.com/active-s...