Had my tel Consultation with the oncologist. She agreed that the PSA had jumped a bit higher than expected and that it will likely to continue to rise slowly. Discussed scans and she said they would do bone and CT when the PSA reached 1-2.
I queried a PSMA scan and Oligometatastic PCa. She said that if a scan identified activity in a lymph node or previously untreated area they could use RT to treat it. She also said there is a more sensitive scan available in Leeds which is nearer than London (PSMA scan). But she said they would refer for PSMA after the normal CT scan. However she was adamant that the PSA is still to low. Agreed we would discuss further at the next appt. She asked if I’d rather now move to 3 or 4 monthly tests and appt. Decided a 4 monthly appt was probably the best way fwd.
interestingly she said while ever I was well and there was nothing on scans they would delay HT until the PSA got to about 30 as research has shown no benefit. However, they would start earlier if I wanted that
Could sense a different tone to the conversation which is a bit unnerving