My PSAs seemed to climb faster with less concern. Is there a reason for that????
I am 81 in Newcastle Australia. I had OpenRP November 2015. No ADT or RT. PSAa OK till
Jan 2021 0.02,
Apr 2021 0.03
Dec 2021 0.03,
June 2022 0.06,
Jan 2023 0.13,
Apr 2023 0.16,
Aug 2023 0.32.
PSMA detected PCa in node near tail bone.
Urologist 1 recemmends ADT + SRT of node,
Oncologist 1 wants ADT + SRT "the whole field". He feels there may be single PCa cells elsewhere waiting to be detectable.
Urologist 2 (UK) thinks at 81 surveillance till PSA = 10.
Oncologist 2 wants ADT + SRT but excluding former prostate area, bowel and bladder areas.
I have been incontinent for past 8 years which my lead to the final recommendation.
PSA went to 0.8 on 29 Jan 2024.
2015 Surgery pathology:
Core biopsy Gleason score: 3 + 4 = 7
Prostate Measurement: 51x43x41mm
Prostate Weight: 63.5 grams (with both seminal vesicles and vasa deferentia attached)
Tumor Type: Acinar
Tumor Extent: Unifocal
Tumor Location: Quadrants: Left posterior
Zones: Peripheral
Tumor Volume: 0.09cm3 (3D volume estimate method
Gleason Score: Primary grade 3
Secondary grade 4
Composit Gleason Score (ISUP2005) : 3+4 =7
Index carcinoma score (ISUP2005) : 3+4 =7
% High Grade (4/5) 45%
DIAGNOSIS: PROSTATE - ADENOCARCINOMA
Does anyone have any thoughts.
If francij1 is still on the line what's your situation after 27/3/23 PSA 0.086. We had some similarity. My Dad died in hospital having RT for bladder cancer of just 2 months. My PSAs began to rise 6 years after my 2015 Open RP. My GP referred me to Uro1 at 0.03. He said come back at 0.20. At 0.16 > 0.32 he sent me for PSMA and now 4 options.