Prostate cancer metastasis
How concerned should I be about some cancer cells migrating to the seminal vehicles? Post-radical robotic prostatectomy PSA was 0.05, on year later increasing to 0.08.
Hi
. Your concerns are certainly understandable. Have you had a chance to speak to your doctor yet. The good news is that the PSA numbers you have seen are quite low. We are not medical professionals and, for the protection of community members cannot offer medical advice, but I do want to share with you this article on PSA levels after treatment: https://www.pcfa.org.au/news-media/news/psa-levels-after-treatment-all-you-need-to-know/. It notes that at very low levels, such as you are experiencing, there can be causes besides cancer, such as benign material left over from the removal. That said, the most common cause is returning cancer, which is why it is so important to speak with your specialists. At the level of PSA you are experiencing there may not even be much to do yet, as even the PSMA PET isn't considered reliable for detecting recurrent PCa until 0.2 PSA. Hope this information is helpful and please feel free to keep us posted as you learn more and to ask additional questions. Best, Richard (Team Member) Thank you so much! My doctor mentioned the possibility of radiation if the PSA increases to 0.1
Hi
. Mind if I ask if the doctor mentioned the PSMA PET at all? Here are a couple of articles on the PSMA PET: https://prostatecancer.net/clinical/psma-imaging-scan and https://prostatecancer.net/treatment/psma-targeted-pet-imaging. Research has put the "cut-point" for PSA to start salvage radiation at around 0.25 which allows for use of the PSMA PET for specifically locating and targeting (see: https://www.cancernetwork.com/view/psa-cut-point-indicates-when-to-start-salvage-radiotherapy-in-prostate-cancer). Your doctor may have specific reasons in your case for looking to start at a lower level, but want to share the information to inform your further conversations with them. Best, Richard (Team Member)
Im definitely going to discuss that with him at my next appointment. Thank you!
