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Cancer: Prostate Message Board
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Old 02-13-2013, 09:37 AM   #1
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PSA rises after prostate removal

Hello: I had my prostate removed 11/12/2010 davinci robotic procedure gleason 4+3.
PSA after surgery was normal <.1
3 months ago PSA 1.54, 3 weeks ago 1.4
I have scheduled ct and bone scan for tomorrow.
What are my options if scans are negative?

 
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Old 02-13-2013, 10:28 PM   #2
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Re: PSA rises after prostate removal

The F18 Bone Scan is the most snsetive but not available everywhere.

An MRI using Ferriheme as a contrast shows prostate cancer much smaller than standard methods. Mine was recently pin pointed to lymph nodes above the the point of the salvage radiation I had post RP in 2005.

Unfortunatly it is only available as far as I know at Sand Lake imaging in Orlando and you must be referred by Dattoli Cancer Center in Sarasota Fl or DR Charles "Snuffy" Myers in Charlottesville Va. They are combining for a study. I recently finished radiation for my lymph nodes and talked to several other men at Dattoli's who were undergoing the same process. I had never met another Gleason 9 in person till I went there but several eight and nines while I was there.

I believe the normal course for others would be hormone therapy and radiation to the prostate bed to eliminate any cells left over. At least that was the standard when my RP was done.

Bear in mind that I am talking only from my personal experience as I am not a professional.

All the best

John

 
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Old 02-14-2013, 01:26 PM   #3
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Re: PSA rises after prostate removal

in addition to the options mentioned in GuamJohn's excellent post, there are a few other imaging options.

The FDA recently approved C11 Choline PET scans which is only available at the Mayo Clinic in MN to my knowledge. There is also a C11 Acetate PET scan, which is available in a handful of locations. Both are better than F18 and MUCH better than the technetium bone scan you're getting. There are a few other experimental PET scans available in clinical trials. I think it's better to target a known metastasis than to shoot blind.

- Allen

 
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