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  • VascodaGama
    VascodaGama Member Posts: 3,701 Member
    Bounce PSA

    It may be too early for making any judgement on the treatment outcome. You may be experiencing the phenomenon "bounce-PSA", typical in RT approaches in guys with the gland in place. PSA may rise and then fall until it stabilizes in a plateau. Later it will reach to a nadir value that will certify the success.

    See this;

    http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&ved=0CEAQFjAE&url=http%3A%2F%2Flink.springer.com%2Fchapter%2F10.1007%252F978-1-4471-2864-9_68&ei=Zkl-VPmSFaWwmwWyqYK4CA&usg=AFQjCNH6L-4YFRzL44JyJ0BlCsVQMjA86w&bvm=bv.80642063,d.dGY&cad=rjt

    http://www.harvardprostateknowledge.org/what-is-a-psa-bounce

    In some patients this takes years to be achived. In any case, the "real" nadir considered in judging progress will be a PSA result in a test done after loosing the HT (hormonal) effects. In your case it is to occur in 1.5 to 2 years from now, because you still got one more year in HT. Surely some other causes (such as infection) could be responsible for the increase but you will only know the facts by constantly "supervising" with periodical tests.

    Best wishes

     

  • Jacquet
    Jacquet Member Posts: 29

    Bounce PSA

    It may be too early for making any judgement on the treatment outcome. You may be experiencing the phenomenon "bounce-PSA", typical in RT approaches in guys with the gland in place. PSA may rise and then fall until it stabilizes in a plateau. Later it will reach to a nadir value that will certify the success.

    See this;

    http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&ved=0CEAQFjAE&url=http%3A%2F%2Flink.springer.com%2Fchapter%2F10.1007%252F978-1-4471-2864-9_68&ei=Zkl-VPmSFaWwmwWyqYK4CA&usg=AFQjCNH6L-4YFRzL44JyJ0BlCsVQMjA86w&bvm=bv.80642063,d.dGY&cad=rjt

    http://www.harvardprostateknowledge.org/what-is-a-psa-bounce

    In some patients this takes years to be achived. In any case, the "real" nadir considered in judging progress will be a PSA result in a test done after loosing the HT (hormonal) effects. In your case it is to occur in 1.5 to 2 years from now, because you still got one more year in HT. Surely some other causes (such as infection) could be responsible for the increase but you will only know the facts by constantly "supervising" with periodical tests.

    Best wishes

     

    VG,
     
    Got my blood work back

    VG,

     

    Got my blood work back and it appears that the person who read results to me over the phone about a week ago did not know how to read the results. After consultation with my physician, my PSA was <0.014, which is good I believe. Then my physician told me I had type 2 diabetes. So, I'm good on the prostate front but have another battle to fight now. I guess I need to open up on a blog for that.

    I'm still on the HT (had my 90 injection today).

     

    Thanks VG, I'll be cheking in from time to time.

     

    Jacquet

  • Jacquet
    Jacquet Member Posts: 29
    Jacquet said:

    VG,
     
    Got my blood work back

    VG,

     

    Got my blood work back and it appears that the person who read results to me over the phone about a week ago did not know how to read the results. After consultation with my physician, my PSA was <0.014, which is good I believe. Then my physician told me I had type 2 diabetes. So, I'm good on the prostate front but have another battle to fight now. I guess I need to open up on a blog for that.

    I'm still on the HT (had my 90 injection today).

     

    Thanks VG, I'll be cheking in from time to time.

     

    Jacquet

    Still doing well. no increase

    Still doing well. no increase in PSA and feeling pretty good!

  • VascodaGama
    VascodaGama Member Posts: 3,701 Member
    Glad for the news

    Glad to read the good news. What about the diabetes, how are you fighting that "front" ?

    Please tell us about your doctor's recomendations.

    Regards,

    VG

  • Jacquet
    Jacquet Member Posts: 29
    edited July 2018 #46
    Been a long time since I

    Been a long time since I posted. My PSA is still negligable and I am off of all treatments. So far so good. I have a friend who was having issues with getting up 3-5 times a night and I kept harping on him to get it checked, which he did. His PSA I believe was around 70 but he does not have his gleason scores back yet.  He's debating on surgury or radiation.

     

    So far though, I'm doing great!

  • hopeful and optimistic
    hopeful and optimistic Member Posts: 2,346 Member
    .

    Great to read your success story.

    I wonder, what is your final PSA number; did you have a bounce in PSA..when did that occur?

     

    Your friend may wish to post here

     

    Best

  • Jacquet
    Jacquet Member Posts: 29

    My PSA is still negligable and I didn't get a bounce. My friend is a little internet shy and he lives in an area not well serviced by the internet. I'll have to prod him a little bit more. He was seeing a civilian doctor who recommended immediate removal of the prostate (it had gotten out of the sac) but he decided to go to a military docter (he is retired Army) and they did a bone scan and lymph node sacn and he is OK on thos areas, no issues. The military doctor recommended the same treatment as I received at the same military hospital. 9 weeks of daily radiation and hormone theray for 2 years after, He immediately went on the hormome therapy and is scheduled to start rediation treatment this week or next.

     

    I hope that the treatment he gets at the military hospital works as well as mine did. I brought my diabetes under control by exercise and diet. My last checkup for diabetes 2 weeks ago showed normal blood sugar levels, so I'm doing well. Lost about 25 lbs in the process so I'm sure that helped on all frints.

  • VascodaGama
    VascodaGama Member Posts: 3,701 Member
    Congratulations

    Yes indeed it did help. lowering 25 lbs is not easy.

    I would like to help your friend. You may tell him to check bone health as this may be affected by the long term in hormonal treatment. A DEXA scan will do and he should do it the soonest. He may inquire with his radiologist at his next meeting.

    Best of lucks,

    VG