37 months post RP T3BN0

[tn12]

Anyone stage 3B with only RP and no other treatment? It's been 37 months his PSA is climbing to 0.06 now. What should we consider for next steps? Thanks 🙏🏿

[Justfor_]

I hit 0.06 16 months post RP and my PSADT turned out being 9.5 months. From this I deduct that your husband's is well above 15 months and as such the recommendations favour a wait and see attitude. As for me, I am the odd one out here but nonetheless doing fine. For more info you can check my bio,

[j-o-h-n in reply to Justfor_]

Did you post ODD...? I think you meant Greek.... Yiasou Leventi

Good Luck, Good Health and Good Humor.

j-o-h-n

[tn12 in reply to j-o-h-n]

What am I missing?

[j-o-h-n in reply to tn12]

Sorry that's an inside joke between two Greeks.....(When two Greeks meet they morph into three Generals).

Good Luck, Good Health and Good Humor.

j-o-h-n

[ron_bucher]

I was also diagnosed at age 54. My bio shows a not uncommon journey when diagnosed that young. I’m glad I’ve been aggressive with treatments at each lapse of remission. 19 years later I’m in great health.

Good luck.

[j-o-h-n]

Threshold to check PSA progression

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A general threshold to monitor for PSA progression is considered to be a significant increase in PSA level from a baseline test, with a commonly used marker being a rise of 0.4 ng/mL per year; however, this can vary depending on a patient's age, initial PSA level, and individual risk factors, so close consultation with a healthcare provider is crucial to determine the most appropriate monitoring approach.

Key points to remember about PSA progression thresholds:

Age-dependent thresholds:

PSA levels naturally increase with age, so the threshold for concern may be higher for older men compared to younger men.

PSA velocity:

This refers to the rate of PSA increase over time and is considered a critical factor in assessing progression, with a rapid rise indicating a higher risk of cancer.

Individualized approach:

A doctor will consider a patient's medical history, family history, and other factors when determining the most appropriate PSA monitoring strategy.

Good Luck, Good Health and Good Humor.

j-o-h-n