Similar question to Ezzedine. PSA rising

[arry4424]

March 19 I was diagnosed with Gleason 9 prostate cancer. PSA was 0.9 (it turns out I have a non secreting prostate. I had 37 sessions of EBRT and 3 years zoladex. Whilst under ADT and for 1 year after ADT conclusion my PSA was 0.01 (indecipherable) Then a year ago my PSA was 0.02, then 0.03 and last week it was 0.13. I have been given an F2F appointment with the urologist this next week. The urology specialist nurse I spoke to suggests that, because my testosterone has returned that the healthy part of my prostate is producing a slightly higher PSA. I`m not sure and although I don`t have any symptoms I suspect the 3 increasing PSA readings suggest that the cancer has ressurected itself.

Thoughts?

[Tall_Allen]

For distant mets, usually PSMA PET will not show low PSA subtypes, but FDG PET might. mpMRI might show recurrence within the prostate.