Shoud I be concerned with my PSA rising from .79 to 1.01 in about 10 months?

[mike2344]

Diagnosed with prostate cancer in August'18 with PSA of 7.84, Greason score of 7 (4+3) before being treated with SBRT without ADT at UCLA in October'18. Reached nadir at .79 after 4.5 years after SBRT treatment.

My latest PSA number as of 01/12/24 is 1.01 as compared to 0.93 (10/16/23), 0.93 (07/20/23), 0.93, 0.79 (03/28/23), 0.84 (12/12/22).

08/29/2018 7.84

01/21/2019 3.8

04/16/2019 2.58

07/19/2019 1.91

10/19/2019 2.03

11/26/2019 1.68

01/28/2020 4.06

02/03/2020 2.46

02/18/2020 1.84

03/19/2020 1.69

08/21/2020 1.25

11/27/2020 1.65

02/26/2021 1.09

06/14/2021 1.19

09/24/2021 0.98

12/20/2021 1.04

03/21/2022 0.96

06/25/2022 0.86

09/24/2022 0.8

12/29/2022 0.84

03/28/2023 0.79

07/20/2023 0.93

10/16/2023 0.93

01/12/2024 1.01

Any comment is greatly appreciated.

Mike Tave

[Tall_Allen]

You might ask for an mpMRI and a PSMA PET scan.

[mike2344 in reply to Tall_Allen]

Thank you very much for your opinion. I will ask my doctor to request the procedures.

[Murk]

Agreeing with TA and IMO, I would get back engaged with your medical team and ask what they recommend as a plan going forward. Then I would get a second opinion from another respected third party. You have issues but manageable...

[mike2344]

Thank you very much for your opinion.

[redonthehead]

In 2020 you had a bounce up to 4.06 which was over 2.0 higher than your nadir at the time of 1.68. I see you then quickly got more tests. I bet that was a relief when it came back down. Maybe do that again and re-check your current PSA soon?