PSA question

Kidscaddy, generally speaking, after surgery, PSA should be undetectable. A jump from .03 to ,13 in six months is something that would get my attention. I would be talking to a Good radiation Oncologist about next steps, sounds like salvage radiation and possibly hormone therapy is in his future, the sooner the better. Many surgeons like to wait until PSA hits .2, but most here would agree that is old school, especially with the kind of PSA rise you describe, and radiation Oncologists will usually disagree with a .2 cutoff, especially with positive margins

With all that said, it would help others with helpful responses if we knew his final pathology...Gleason scores, stage, whether there was extra prostatic extension, etc, you can create a signature in your profile that would contain this info, and appear at the bottom of your posts.

His Gleason score was 7/10
Margins involved with invasive carcinoma Apical, left
Staging pT2c

Kids - Hopefully your doctor said to get another PSA test within 30 days to confirm the result. If not, you should ask for it to be clear where he is at and heading. If the result is increasing then it is time for the radiation oncologist to propose a treatment scheme based on his surgery pathology. Nothing can be gained by waiting much past 0.10 if the rise is clear.

Thank you for the comments. I have a call in for a referral to the graduation oncologist.