PSMA scan - a good idea or not?

That’s why I rejected RT 3 times as it was hit and miss and likely non-curative. However in your case with such low numbers , then RT makes sense as a possible still curative path. Mine was different as PSA so high and rapid post op they suspected advanced. It’s a difficult decision. I did 11 months HT which was Bical and Tamoxifen which lowered the psa , then we all sat round the table and wondered what we were trying to achieve!!! I wouldn’t have scatter-gun RT on a whim , yet HT only was a path to demise. So we stopped and let it grow wherever it was , so that we could see it with scans. And both a Choline and PSMA PET scan found nothing at all with psa approx 3. Yet they can see a clanger fart on the moon. No one knows where my psa is coming from , but it’s too much to be coming from the prostate bed alone , so I’m very chuffed I didn’t let protocol just fry my innards with RT as it’s their chosen standard. I think I’m fully in control of my cancer through informed choice and I wouldn’t have it any other way. I’m not arrogant —- at each stage I’ve clearly asked if I’m being stupid and been told no I’m not. You have time to research and get it right for yourself. Personally I think only the very luck few get it out and are cured. The rest of us get it back. Even with salvage RT 50% fail, but they may buy more time. Personally I had the op against my wishes. I hated the aftermath both physically and mentally and to be honest it’s never ending. But I’m doing it my way with as little time as possible sat in huge hospital queues and risking side-effects and pain and general overwhelming anxiety. Maybe I’m different but I’m happier as I am living a normal life. I’m definitely going to die of PCa without a shadow of doubt ( unless I have a heart attack first ) , but I’m not going to over treat something they can’t see , and they admit that.
Best wishes as ever !

Unfortunately I fall into the second group, my PSA remained <0.1 for between 9 months and 11 months then quickly jumped to 0.3 and then to 0.7 with a PSA doubling time of 1.2 months. I decided to go ahead with salvage radiotherapy anyway as enhanced MRI and PET scans picked up areas of recurrence. My oncologist is convinced I have micro metastasis but agreed that evidence suggests high risk recurrences still benefit from salvage radiotherapy. I am going through a phase of worry about this which is difficult to deal with. In your case the PSA is still very low but slowly increasing. If your oncologist is convinced this is a recurrence then hitting it early has a good chance of curing you. Lyn’s John is a good example.