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Lon slow path to Recurrence?

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User
Posted 05 Apr 2023 at 14:53

Wise ones...


After RP in 2018, Gleason 3+4, PSA was undetectable


Until 2019, and has risen slowly slowly catches monkey from 0.03 to 0.08 today- so 4 yearsi know it is slow, but it has doubled, and seems to be heading in the dreaded upward


Should I be concerned?


Enough to seek early scans?


Or should I wait and see?


I know this forum has some extremely experienced and knowledgeable folk, and I would be grateful for any insights


Happy Easter btw


 


 


 


 


 


 


 


 

User
Posted 05 Apr 2023 at 22:22
Read my profile similar timescales and climb rate.. For the first time in 7 years my PSA has reduced for nearly a year after peaking at 0.100.

Scans probably not worth it until 0.2 but make sure you are being seen by an oncologist, a urologist is no use to you now.
User
Posted 05 Apr 2023 at 23:11
I think it is still too early to be doing anything - wait and see what the next PSA is in 3 months' time. If it goes above 0.1 at next test, ask for a referral to oncology.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
User
Posted 06 Apr 2023 at 09:08

Who's doing the PSA tests?


If your hospital isn't aware of the rise, I would certainly make them aware. You could perhaps send an email to the CNS, listing all your PSA test results with dates. Some hospitals act earlier than the 3 consecutive rises above 0.1 or hitting 0.2. Sometimes this depends on other things such as your original diagnosis and histology.

 
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