finished radiation

michael1601
michael1601 Member Posts: 1 *
in Prostate Cancer #1

i had prostate surgery in may of last year and then radiation and finished that in novermber just had a psa score taken and it came back at 0.25 do i need any further treatment

Comments

  • centralPA
    centralPA Member Posts: 379 Member
    #2

    Hi @michael1601 , sorry you find yourself here. Some questions…

    Why did you have radiation following your surgery? Did they find positive margins? Or was it already planned?

    Did you have a PSMA PET?

  • jc5549
    jc5549 Member Posts: 71 Member
    #3

    Hey there,

    There is no way to answer your question on this blog, only your Urologist and Radiation Oncologists will be able to determine if your response to the radiation is appropriate. It is common to have a detectable PSA after radiation, however, they need to follow how low it goes, and how stable it is at that level.

    Your doctors will know what your prior disease grade and stage, compare to your most recent PSA, and determine if you are finished with treatments.

    As always in prostate cancer, there never seems to be simple answers.

    Good luck, my friend,

    jc

  • JackWest
    JackWest Member Posts: 32 Member
    #4

    Michael,

    I had very similar. My PSA is about the same, now 3 years post radiation, as it is the expected minimum. Your Radiation Oncologist will give you the best status updates. See also your Urologist as he requires, for functional Q&A, advice and issues. Since you are only a few months out, just relax and take care of yourself. Reach out if you want to chat or share a thought.

    Jack

  • Clevelandguy
    Clevelandguy Member Posts: 1,265 Member
    edited February 6 #5

    Hi,

    If you had your Prostate removed and then radiation followed, I would think your PSA should be less than .1 three months later. If you had some type of procedure but not removed then radiation the .25 might be OK. Follow up with your doctor team to see if there is some reason why your PSA is .25. A PMSA PET scan might be in order looking for cancer areas outside your Prostate if your Prostate was removed.

    Dave 3+4

  • Old Salt
    Old Salt Member Posts: 1,585 Member
    #6
    https://csn.cancer.org/discussion/328969/finished-radiation

    What you need is more PSA testing to see if there's a trend (or a mistake). If true, the (0.25) PSA test result suggests that you need a serious discussion with your urologist regarding further treatment.

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