Very Slight increase in PSA

If your PSA numbers are a trend towards BCR, it’s not like in the past when you reached .2 it was immediately labeled BCR and felt you needed treatment. At that point it still is likely BCR but now typically waiting for treatment until .5 to 1.0 for PSA driven and up to 2 for allowing PET imaging , so it’s possible it could still be time before you actually needed treatment depending if your PSA continues to rise. Again in the past , treatment was PSA driven and then the Radiation had no target. Today Radiation can be so much more focused and with the advent of PSMA PET scans, treatment is becoming image driven having a target for the Radiation letting the PSA to rise to 2.

Tico,

A big example of how advances in technology and treatment are always improving through time is shown in a video Steve1961 shared. A doctor at UCLA Dr Reiter is behind a new surgery years after a RALP when it appears the cancer has resurfaced often in the lymph nodes. Although the PSMA Pet will show the lymph nodes, the specific nodes cannot be identified so the whole area is off to Radiation and maybe hormone treatment. This new surgery with advanced technology allows the surgeon to go in and through testing while in surgery identify the specific individual lymph node or two that are cancerous and just remove those and not have to undergo Radiation. It appears successful but I imagine still in clinical trials at UCLA.

He recently posted the video under the thread “My case high PSA post prostatecomy”started by jpeters88 on 2-16-25