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PSA

My PSA is .1 after surgery. What did your oncologist recommend for your treatment? Thanks

  1. Is it .1 or .01? Less than .01 is undetectable. My surgeon/oncologist recommended no additional treatments beyond surgery and that the margins of my prostate were ok as well. Review that with your oncologist to see if the cancer penetrated the margins of your prostate. Most likely another round of lab work in three months. It's been almost three years for me and I'm now being scheduled annually for lab work.

    1. Thanks Bob my PSA was .1. 4 weeks after surgery it was .2. Then 4 weeks later it dropped to .1. Praise the Lord. My oncologist is recommending 34 Radiation treatments.
      Thanks very much for your response.

    2. thanks. I hope and pray your labs work continues to be positive

  2. After my prostate was removed the PSA reading was 0.02 and stayed that way for 2 years. After that I began to see a slow rise every 6 months - Some 5 years later my number reached 0.13 and it was suggested I do radiation. Because of a high Gleason at the time of surgery it was suggested consider the 6 month androgen deprivation (Lupron) shot prior to follow up treatment.
    Did the 40 external beam and the shot - (Lupron was not fun) so far all is well 3 years later. Today I would look into Proton as well. Docs here suggest doing radiation after surgery and prior to your reaching 0.10 ... Dennis(ProstateCancer.net TEAM)

    1. thanks so much for your response. I pray things continue to go well for you

  3. I had a Gleason 3+4 7, PSA of 7.8 prior to surgery. There was a positive margin. First PSA after surgery was a .03. 4 months later it was a .05. My surgeon told me "you still have cancer and will need radiation". He plans to use a PSMA PET Scan to pinpoint location, but PSA needs to be a 0.2 for that to work. For now it's a waiting game for PSA to increase to the 0.2. I really like the idea of being able to pinpoint it while still so small. Otherwise it's a broader radiation area I understand. My next PSA is in a couple of weeks. I'll know more then.

    1. thanks for asking. I'm doing fine. Feel great, spending lots of time out on my dirt bike acting like a 16 year old!😁 and camping with my wife when out on our big bike. Excellent stress relievers for me. I will have my next PSA results sometime next week, appointment with the Dr. On 6/22. The waiting after the blood draw does make for an anxious time period..not to mention knowing at some time (soon? Not so soon?) In the future I'll start radiation is not fun. Meanwhile I'll keep up with what I call my throttle therapy and have fun!

    2. Glad to hear you are doing well. It's good to act like a 16-year-old. I might have to take that back. I have a 16-year-old granddaughter. Just remember we are here for you and so is your lovely wife. This was one of the things that kept my father going was knowing he was not alone. Keep in touch. Community Moderator, Diane

  4. No problem Richard. University of Michigan Hospital us where it would be done. That cut off level is much higher than what was told to me. I did read other studies specifically referring to 0.2 or 0.4. . I guess it is a fairly new scan so perhaps the guidance is evolving? I'll hopefully know more in a few weeks.

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