PSA Rising

Old time poster here. Had robot surgery on 2-5-10, psa was undectable until 1-15-14 increased to 0.02. The following increases occurred, 1-29-15 0.04, 8-29-16 0.05, 8-15-17 <0.01 (not sure about that one does not make sense) 8-21-18 0.1 (did not do ultra sensitive test) 8-20-19 0.210, 10-23-19 0.181, 10-20-20 0.275, 12-8-20 0.320, 12-31-20 0.281, and 4-1-21 0.333. Have a visit with urologist next week, they mentioned maybe starting lupron. Have not seen an oncologist. Starting to get concerned. Hello to all those that were here when I first came here.Sadly some have passed but this group is the greatest. Sad to see so many new names.
Thanks,
Neal

One study found that the PSA "sweet spot" for PSMA scans was, I believe, 0.75. Lower than that means a too high chance of missing lesions (low sensitivity), and higher PSA's can mean waiting longer than one wants to. You can find study results that show, for a given PSA, the chances of a Ga-PSMA scan detecting vs. missing existing cancer lesions. But by all means inquire about advanced scans.

Djin

What is your age...what is your physical health other than pca...are you overweight...have you had a consistent and relevantly strenuous exercise regimen for the last 10 years...do you smoke tobacco...this information is all relevant to your question...without them I have no advice... actually...after rechecking your thread I do see your signature and agree with the advice others have given and or implied...mush ado about nothing. Having said that...I will add that the questions I posed above are relevant to your future and other than age should be addressed with same anality that you have with micro movements of psa metric...over the the history of your dis-ease

Thanks for the replies. I am 57. Overall health is good, high cholesterol, a couple of stints in my legs. Do not exercise regularly but job is physically demanding.

Thanks for the "assist" F8...that did get lost amongst the shifting metrics of my post...it was a point I was trying to make...

physically demanding one thing...cardio is another...never too late to start...check with doc and go slow but st//eady....it will do more than all the scans and angst for Pca and overall longgevity of and quallity of life... "I die daily" do what ever suits ya with that quote from back in the day... doesn't matter what really...Just do it.............

I agree with Prato.
Also, your rise in PSA is pretty slow, ask an Oncologist, preferably one that specializes in Urologic cancers.

Before you get an advanced scan, make sure your Onco trusts them.
My first Onco trusted a negative MRI over a positive Aximum PET.
I've changed Oncos.
And whatever you do don't get a ct or bone scan until PSA is much, much higher.

You're staying on top of things, the quarterback of your own medical team, KEYSAILFISHER.

You're being vigilant and proactive ---- maintaining your health goals.

Keep us posted --- we'll save you an Adirondack chair by the backyard fire pit, for your next visit and update.

Sending support, and positive vibes your way ~~~
CYCLONE ~ # Iowa State University