Update on PSA Kinetics

[Chasbearcat999]

DX 4/23. PSA 8.6.

SBRT 10/23. PSA 9

12/23 post SBRT PSA 11.96 (No adt)

2/24 - 9.34

5/25. - 4.85

8/24. - 6.48 (Suspected "bounce")

10/24 - 5.9

12/2024 - 5.4

I know it's trending in the right direction, but 14 months out from treatment, I was hoping for below 2.

I have a phone call with RO today. He feels like any drop is good, and I need to stop worrying about the pace of the drop.

At last appointment, he agreed with Tall_Allen that prostatitis was a factor that he feels will "muddy the waters" for some time.

Thoughts?

[Bfit01]

don’t make any rash decisions. My went up gradually for 3 years before trending down to acceptable levels, 5 years out from proton an still going down. Enjoy life. I wasted those three stressed and worried I was dying “tomorrow” the whole time.

[Chasbearcat999 in reply to Bfit01]

Thanks. My 2 RO's said that while I was an "outlier" I wasn't as unusual as people think. It just seemed like I see other people have very rapid declines.

[Xavier10 in reply to Chasbearcat999]

Seems like you could get a PSMA scan if you are concerned about metastasis. Might put your mind at ease.

[Chasbearcat999 in reply to Xavier10]

Both RO’s involved believe it was a “bounce” and that the steady (but slow) decline isn’t behaving like metastasis.

[Xavier10 in reply to Chasbearcat999]

just giving you my "thoughts." I know with a PSA that high they could probably justify it and if it came back clean, that would be a good feeling and if it didn't, it would tell you where to possibly hit with SBRT. But of course they doctors have the final say and in this case, I guess their say is just don't worry about it. So that's your final answer. Stop worrying about it.