PSA rises to 0.32 in 18 months - Prostate Cancer N...

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PSA rises to 0.32 in 18 months

tsddad profile image
15 Replies

I had a RP in 2018, no radiation following removal. My PSA scores after surgery were 0.04. In Jan. 2021 the levels began slowly rising.

Jump ahead to Jan. 2022 level was 0.08.

July 2022 my level went from 0.14 to 0.32.

I will be contacting the urologist for advice and opinion.

My question, Is this possibly a recurrence of my prostate cancer, which was Gleason score of 7 and PSA was 15.0

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tsddad
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15 Replies
Tall_Allen profile image
Tall_Allen

It is definitely a biochemical recurrence. Talk to a radiation oncologist, not a urologist.

tsddad profile image
tsddad in reply toTall_Allen

Thank you but should I call the surgeon and at least discuss my options?

Tall_Allen profile image
Tall_Allen in reply totsddad

No. There are no surgical options.

Bethpage profile image
Bethpage in reply totsddad

Salvage surgery will fail. Husband was there and did that on Vipul Patel's recommendation. Long story, but really bad idea.

Justfor_ profile image
Justfor_

From 0.08 to 0.32 in 6 months, or a doubling time of approx. 3 months, an aggresive BCR is brewing. After a confirmatory PSA, as errors are not unheard of, a PSMA PET/CT should be considered as next step. I am in a similar, albeit lighter, stage (9.5 months doubling time) and if interested you can find out how I am doing by checking on my posts.

London441 profile image
London441

You need to be in the care of an oncologist who specializes in Pca not a urologist as has been suggested. Recurrence after RP alone is too common to wait around.

Paulo1968 profile image
Paulo1968

Hi there, I was a bit like you, but the recurrence happened earlier. After surgery in April 2018, PSA came at 0.04. 2 year later it started scrolling up. I had radiation to the pelvic area and still not success. So now I am on hormonal therapy, God knows till when?!You should rush to a doctor please, as you passed above the mark of recurrence already.

fishrocky profile image
fishrocky

tsddad ....I'm exactly the same as you! RP 20186/2021 PSA 0.108

12/2021 PSA 0.219

3/2022 PSA 0.289

Had PSMA PET/CT found nothing

Went to Dana Farber Boston 4/2022 started Lupron/Casodex PSA now <0.02

Started with T at 505 4/2022 now <3

Radiation starts 9/2022 for 8 weeks

The journey/fight continues...Never Never Never Give UP!!!

Teufelshunde profile image
Teufelshunde

Another person with the same story as you. Salvage radiation is the correct next step. Very few and/or mild side effects. The lower the PSA the better the results. If over 0.70 prognosis is worse. I know many on here are anti-supplement, but while you are waiting on your appointments, and start of SRT or ADT prior to SRT, I would start taking BROQ (avail on Amazon) which was used in the study right away at the dose that was successful in the study. In the below study, basically stops progression. Again, this is not in place of SRT, but stop it from getting worse NOW! A cup of pomegranate juice also has some good results so would not hurt. Here are the studies. Good luck.

Sulforaphane - pubmed.ncbi.nlm.nih.gov/259...

Pom Juice - pubmed.ncbi.nlm.nih.gov/168...

tsddad profile image
tsddad in reply toTeufelshunde

Thank you everyone for your responses. I have a call in to my Dr. Hopefully will hear from him today

SeosamhM profile image
SeosamhM

Jump on this ASAP with an oncologist, not urologist.

tsddad profile image
tsddad in reply toSeosamhM

My Dr. has ordered a PET Scan, now to schedule that asap. Thank you everyone, again

tsddad profile image
tsddad

PET is scheduled for 8-18-2022.

Jeff85705 profile image
Jeff85705

Talk to your urologist first.

tsddad profile image
tsddad in reply toJeff85705

I did talk to him first. He ordered the PET

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