PSA bounce: I am 14 months post SBRT at... - Prostate Cancer N...

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PSA bounce

ODave profile image
13 Replies

I am 14 months post SBRT at UCSF. I had my latest PSA Friday it was 1.134 up from .740 6 months ago. Is this a normal bounce? The Dr said not to worry about it (easier said) and test again in 6 months.

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ODave
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13 Replies
Magnus1964 profile image
Magnus1964

That's a bit of a long time for a "bounce."

ODave profile image
ODave in reply toMagnus1964

I was getting tested every 3 months, once it went below 1 Dr said check every 6.

NOCanceros profile image
NOCanceros in reply toODave

My advice check every 3 months.

Magnus1964 profile image
Magnus1964 in reply toODave

Request that your PSA be tested every 3 months.

Hope4Happiness profile image
Hope4Happiness

pubmed.ncbi.nlm.nih.gov/276...

A total of 24/47 (51.1%) patients had ≥1 PSA bounce. Median magnitude of PSA rise during bounce was 0.50 ± 1.2 ng/mL. Median time to first bounce was 9 ± 7.0 months. Median bounce duration was 3 ± 2.3 months for the first bounce and 6 ± 5.2 months for subsequent bounces. Prostate volumes <30 mL were associated with a decreased likelihood of bounce (P = .0202), and increasing prostate volume correlated with increasingly likelihood of having ≥2 bounces (P = .027). Patients reaching PSA nadir of ≤0.1 ng/mL were less likely to experience any bounce (P = .0044).

Tall_Allen profile image
Tall_Allen

Smart doctor.

ODave profile image
ODave in reply toTall_Allen

I’m hoping :)

safari1 profile image
safari1

My “bounce” didnt happen until 30 months .7 to 1.1 now .25 after 48 months.

ODave profile image
ODave

Someone commented last night, said no it wasn’t normal but the post is now blank and says posted 2022y ago? Hows that happen?

NotDFL profile image
NotDFL

Listen to your doc...

CarverD profile image
CarverD

At a year out from HDR-BT my PSA shot up to 1.720 from a low of .841 just 6 months earlier. Doc says it's the bounce and should settle back down in another 3 to 6 months. No worries.

j-o-h-n profile image
j-o-h-n

read T_A again......

God Bless All of our Military Veterans.

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 11/11/2021 7:12 PM EST

Bfit01 profile image
Bfit01

My bounce went to 6+ over 3 years after proton. I had docs saying lupron and others saying keep testing. I chose more frequent testing. From 6+ it has trended down over the subsequent 3 years to the lowest it’s been at .24. The roller coaster is not fun, but don’t be in a rush to do something unless there is a clear indication to do so.

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