Biochemical recurrance

[Misterino]

Hi everyone sorry for my English, I'm Italian, I'm 63 years old. Cured prostate cancer in 2014 with brachytherapy. psa 2014 2.5 in 2018 nadir 0.22 in 2019 it rises to 2.3 2019 pet psma finds bone metastasis treated with radiotherapy. 2020 psa 0.5 2021 psa 0.08 2022 psa.0.04 2023 psa 0.02 then 0.04 2024 0.09 then 0.1 2025 0.13 When is it time for a new pet considering I still have a prostate?

[Tall_Allen]

"When is it time for a new pet considering I still have a prostate?" When your PSA reaches 2.0 or is rapidly doubling.

[Misterino in reply to Tall_Allen]

Thanks

[mababa]

Ciao, Misterino. My MO indicated that a PSA of 2.0 is the benchmark he will use. I understand that for a scan to be effective, tumors need to be large enough to “see.” Apparently, this corresponds to a PSA of at least 2. I migliore auguri per te.

[Misterino in reply to mababa]

Grazie

[Teacherdude76]

Talk with a medical oncologist. You were not cured at first, just no evidence of disease, BED

[Misterino in reply to Teacherdude76]

I'm Gleason 6 , in 2014 treated with brachytherap . in 2019 I had a metastasis to the ischio pubic branch treated with radiotherapy.. since 2019 psa has dropped from 2.6 to 0.02 (nadir) in 2023.. today it is 0.14.. but you tell me I have to wait for 2.0 since I still have the prostate.

[MateoBeach in reply to Misterino]

I’m not all would wait until a PSA of 2.0. PSMA scan can identify metastasis sites with PSA as low as 0.20 or 0.25. I would (and did) get a scan when that range is reached, at least for baseline. Waiting for 2.0 is just surrender.

[Misterino in reply to MateoBeach]

I have read medical reports from recent years, they say to wait for the PSA to reach 2.0 ng. I'm worried. without prostate 0.2, with prostate 2.0? but I'm a singular case because I'm PCA and I've never had hormonal treatment

[j-o-h-n]

Senor Misterino, With Pca you are never cured....Only in remission,,,

Would you please update your bio. All info is voluntary. Grazie, Ciao..

Good Luck, Good Health and Good Humor.

j-o-h-n

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

I uploaded my bio. We hope to remain in remission for many years.

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

From your lips to God's ears.... (Thanks for the update to your bio).

Good Luck, Good Health and Good Humor.

j-o-h-n