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Psa rise after partial hifu
Comments
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I agree with your sentiment that the trend is concerning. If there is another increase, I recommend a PSMA scan to see where the cancer is located. Presumably, radiation and surgery are still options.
PS: In the past I have argued that focal laser ablation is not the way to go as there tend to be (very) small cancers that can't be seen in scans. My argument is based on recommendations from the American Urological Association:
Clinicians should inform patients with intermediate-risk prostate cancer considering whole gland or focal ablation that there are a lack of high-quality data comparing ablation outcomes to radiation therapy, surgery, and active surveillance. (Expert Opinion)
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