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Posted 2/16/2013 2:41 AM (GMT 0)
6 weeks after salvage radiation the first psa is 0.4, wondered what thoughts anyone may have, good?? Could do better?? Psa 11 in feb2012. Biopsy Gleason 7,
Surgery in May 2012, gleason 9, T3b,immediate psa rise to 39, lupron started in July, down to 1 when started radiation in November. Age 57.
I am the wife seeking understanding, guidance and hope.
So psa has come down to 0.4 in 7 months lupron plus radiation, would hope for a lower , undetectable...can this be possible. T level 2. Bone scan clear.
Posted 2/16/2013 2:43 AM (GMT 0)
Hi Here we go,

I don't know enough to comment on the PSA but wanted to wish you and your husband the best.
Posted 2/16/2013 3:12 AM (GMT 0)
PSA sounds high for post SRT in my opinion, but we are talking about something that varies too much
Posted 2/16/2013 3:40 AM (GMT 0)
Here we go,

What was his PSA going into surgery?

Jerry
Posted 2/16/2013 3:51 AM (GMT 0)
Jerry, a general physical showed psa 11 which led to biopsy which led to surgery.
Posted 2/16/2013 4:31 AM (GMT 0)
Sorry...missed that in your post the first time I read it. I'm not sure, but 6 weeks might not be long enough.

Are you working with a good medical oncologist? Very important to be dealing with someone very knowledgeable specifically in the PC arena.

Hang in there. Lots of tools available.
Posted 2/16/2013 8:39 AM (GMT 0)
Of course, it is possible that the PSA will go even lower, and it most likely will by the next measurement. With some patients it takes quite a few months on HT for the PSA to go undetectable. If it does not, however, it may be time to look into some sensitive scanning methods available at special centers: C11 Acetate CT, C11 Cholin CT, Feraheme. These scans will most likely be able to identify the affected lymph node(s). The affected lymph nodes can than be resected or radiated, but this can get complicated, depending on the location. However, PSA must be above 2 for the most of the scans to be able to pick up the location of the cancer. Good luck.
Posted 2/17/2013 5:02 PM (GMT 0)

Here we go,

Reading your post brought back a flood of memories for me allong with that horrible feeling in my gut. Back in Nov. 2011 our  6 week post op PSA came back at 6.9.  We got some of the same responses back from this forum. I think our post was entitled "anybody ever seen this?"

I think i know what you're going through.  I'm the wife researching all the abstracts and clinical trials, trying to find the best docs and best outcomes.  You can see from our stats where we are in this journey.  There aren't too many of us with post op PSA.  I think we got some of the same responses from the forum! The forum has been a life saver for us though, lots of info and suppost.  We've even been to the NY and Baton Rouge gatherings (and will pospone SRT til after April so we can attend this year! My email is in our profile if you have any questions or just need to vent. Take care! The sun is shining and its warming up in the chilly midwest..

Marie(aka mswampuscat, winecrafter extrordinaire!)

Posted 2/17/2013 8:23 PM (GMT 0)
Hello. Was he still on hormone therapy for the reading of .4 PSA?

Anyway, radiation can take some time to kill cancer cells. Some standards look for rising trend after a nadir is achieved.
Good luck to you both.
Posted 2/18/2013 1:14 AM (GMT 0)
Marie, thanks for your response. I think part of my Internet searches, sometimes bordering on obsessive! Is to find people dealing with similar situation and what treatment path they take, you have been the first! My concern is with wanting to be proactive, as I learn more I realize the misinformation we had in the beginning, and that the differences in opinions even among the experts can lead to constant doubt and questions, and yet we do have an oncologist now that we have no reason to doubt. Perhaps it is more the search for the magic bullet that is in all of us and yet does not really exist. With this being said we have love and gratitude in our lives.
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