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PSA post RP

Posted 24 Apr 2019 at 08:10

My prostate was removed on 29th November2018. First post op PSA blood test was 0.3 and I was told that I might need radiotherapy (6 and a half weeks of it). However, my second PSA test was lower at 0.2 and therefore the oncologist considered it better to hold off on radiotherapy and have a further blood test in 3 month's time. She felt that the higher than expected PSA level was caused by either cancerous cells or prostate tissue. Has anyone had a similar experience?

Posted 24 Apr 2019 at 11:38
It is unfortunate that you have detectable PSA so soon after surgery. I have had five tests in the eleven months since my operation, all undetectable.

Recurrence after prostatectomy is officially classed as a PSA of over 0.2, or consecutive increases of more than 0.1 over a number of tests. I think your oncologist is quite right to wait for your next test, as the two results may be aberrations, but I’m sure it will be a very worrying wait for you, on top of all the worrying you must have done upon your diagnosis.

Best of luck however it pans out.

Cheers, John

Posted 25 Apr 2019 at 10:12

It's unusual to be 0.3 then 0.2 so getting another sample is useful.   It's usual to get a trend as the rate of change gives a clue as to what it is.  3 months is often used but I think I'd be wanting tests every month. 

If you look up Adjuvant Radiotherapy you'll find more information about cases where psa has not gone down after the op.   Salvage Radiotherapy is where it's been undetectable then come back.

I'm sure there are others who've had or know about adjuvant treatment and will give you their experience.

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