Feb 15, 2011 - 4:52 pm
Last July I had a robotic radical prostatectomy. My biopsy showed a Gleason 9 but post-surgery pathology showed a Gleason 7. I had extraprostatic extension but negative margins. Lymph nodes and seminal vesicles were also negative. I was very happy.
Post surgical PSA was 0.1. 3 month PSA was 0.16. 6 month PSA was 0.87! Wow! I hope it's a mistake - I'm going to get another one soon - but this puts me in a panic.
My Urologist is recommending radiation and hormones. I called my surgeon and he suggested radiation only, adding hormones if PSA doesn't go down.
I'm not sure if my immunosuppressants (kidney transplant) are affecting this, but I'm going to tweak the meds since some (one in particular) limit the body's ability to fight cancer.
Has anybody had their PSA rise this fast after surgery with negative margins? What was the result?