Husbands prostate cancer returned
My husband had prostate cancer in the early 2000’s.
It was stage 1 with a PSA of 7.
He opted to have radiation seeds implanted and his numbers were good until about 3 years ago when they began to creep up.
Family Doctor said to watch and wait, but we were a bit nervous about it but we waited.
Then at the beginning of this year it went to 2.
Went back to Cancer Doctor( his Doctor had passed away).
Brent is 75, this Doctor who we do like suggested again watching as it is a slow growing cancer.
But now it’s gone up to a 4.
We have an appointment tomorrow to see what her says.
He already said they could not take it out, but that we could consider hormone therapy.
Just wondering if anyone knows more info than we do about treatment options?
Hi
. Your concerns about your husband's rising PSA are certainly understandable. First, let me say that I'm sure it is a comfort to have your support and you advocating on his behalf. Has anyone mentioned his getting a PSMA PET scan? I ask because it is the gold standard in locating recurring prostate cancer. This article provides further information: https://prostatecancer.net/clinical/psma-imaging-scan. I also want to note that depending on what the finding of a scan would be there are numerous treatments available. This article from our editorial team gives an overview of treatment options: https://prostatecancer.net/treatment. Also, please know that he is always entitled to a second opinion and in fact, as noted in this article, most doctors should welcome one: https://prostatecancer.net/living/second-opinion. Please feel free to let us know what you learn and to ask additional questions - plenty of men here have been where your husband is. Best, Richard (Team Member) I am 88 years old. After watching my PSA beginninmg in 2000, I was treated with seeds for prostate cancer in 2006 when my PSA reached 8.5. After a low score of 1.8, my PSA has been slowly rising. I have had no unexpected sysmptoms. Twenty years after treatment it is now just below 12. I just had my first PSMA PET scan. The scan only showed activity in a part of the prostate, and did not show any distant metastisis. I got a second opinion from a proton treatment doctor and am now deciding the next step. I think the PET scan is an important tool in describing wht is happening. The proton doctor did not reccomend re-irradiation, because there are no studies in the journals. I recommend the PET scan. It is very simple and can show what is going on.
Hi
. You are so right about the PSMA PET. As noted in this article, it is the gold standard for finding recurrent prostate cancer: https://prostatecancer.net/clinical/psma-imaging-scan. So glad yours showed everything still contained. As you look at treatment options please feel free to ask questions - there are men here who have been where you are. Wishing you the best. Richard (Team Member)
