Mar 22, 2012 - 3:36 am
I had radical prostatectomy in septeber 2011. My PSA in that time was 10.9, I had clear bone scan (Scintigraphy).
After surgery Pathology report was: G3, Margins clear, Geason score 7 (4+3)GD 60%+40%, Pt2+(PNI) pN0 20%, L1V1 Without transcapsular spread.
My first PSA measurement (cca 6 weeks after surgery) was 0.06, 4 Months later it was 0.24, 2 weeks after that reading it was 0.3
My doctor is proposing wait (till PSA > 0.5) with notion that cancer cells were spreaded with high probability that it is distant spread (knowing nature of surgery - most radical that can be imagined).
He is proposing new Scintigraphy with notion that this, most probably, wouldn't show anything yet (and, most likely, will in the future). I am postponing that hoping for some other form of diagnostic (PET?) and having in mind that those procedures cannot be repeated very often.
I am trying to seek second (third/fourth) opinion in pusuit of proper diagnostic method that can/will detect "beast" especialy if it is still local (so radiation treatment can be applied).
Any advise based on your experience will be more than wellcome.