Rising psa

[ezzeddine]

Is My cancer back?

Ezzeddine

Cherni

Born: 10-09-1959.

65yo.

Radical prostatectomy in 2011.at the age of 52

Gleason=7

PSA non detectable for 5 years :0.07.

In 2016. 0.11.

2017: 0.17.

IRM no local recurrence

2019: 0.22

IRM : no local recurrence.

2020: 0.18

2021: 0.38

IRM non local recurrence.

2022: 0 .46.

2023 : 0.70

April 2023: PET.: negative

PSA: 29-01-2024: 0,86.

PSA: 7 February 2024: 0,89.

[Tall_Allen]

Time to talk to a radiation oncologist about salvage radiation.

[cesanon]

Could be worse. It's the doubling rate that counts.

I would would start taking PSA tests every month for the next 6 to 12 months.

Your last two lab results are basically the same.

In addition to talking to a radiation oncologist you really should see a medical oncologist.

But if you plot your trajectory on a piece of paper it's not going to look as bad as it seems.

Collect the information you need, then make your treatment decision.

Don't make any artificially rushed decisions .

[Walkman1 in reply to cesanon]

Consider exploring a PSma scan to help identify the location of the cancer.

[cesanon in reply to Walkman1]

Agreed. Plus a scam to pick up non-psma prostate cancer, just in case.

[lpol83712]

Not sure IRM is but PSA at that level generally means you need treatment with radiation. The pet scan is more accurate if the agent injected in your vein is one used for PSMA. If not that should be first to guide radiation. Statistically most recurrence is in prostate bed but with this long an interval from surgery I question if it is as statistically correct. If in US recommend NCCN center of excellence

[ezzeddine in reply to lpol83712]

Hi...thank you all for your kind replies. I am in Italy and I expect a PSMA PET scan on March 20.