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Undetectable to Detectable PSA- post adjuvant radiation, RP

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Posted 1/5/2013 9:10 PM (GMT 0)
Post RP this year in April my PSA was undetectable (< 0.03). However started with hormonal (Zoladex) in May and then Radiation(Prostate Fossa( in September-completed Nov 7th. Post radiation PSa test done 4 days later was 0.04. Will have another PSA test next week to determine if the previous test was a bump or recurrence .

Has anyone had a similar experience and what was the outcome.have you heard of a PSa bump post radiation-without the prostate? Would appreciate any information/help. Any other tests I should ask for now?

RP Biopsy- Gleason was 9(5+4), one Positive Margin and 1 Cancerous Lymphnode(out of the 17 removed) and substantial extra capsular extension-both SV invaded. hence started with Hormonal (Zoladex) and adjuvant radiation (Prostate Fossa-33 x 2Gy each) to reduce chance os recurrence.

Thanks

berco
Posted 1/6/2013 3:55 AM (GMT 0)
Welcome to HW. Wish that you didn't have the need to be here -

I would say that one PSA test does not make a trend. You'll need a second to see what is happening. As to a bounce with/without a prostate? What reacts to the radiation is PCa cells, which can exist outside the prostate, so I would say a bounce expected "with" could be a bounce expected "without".

But one PSA test does not make a trend, so wait for the second.

Posted 1/6/2013 5:17 AM (GMT 0)
Thank you for your advice. Waiting for the results of the new pSa test. Berco
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