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  • my PSA rise after doing radiation therapy one year ago.

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    Old 01-17-2020, 10:45 AM   #1
    efang
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    my PSA rise after doing radiation therapy one year ago.

    I did Rediation therapy on end of 2018, now my PSA changed as following list:
    Date
    date PSA Testosterone
    6/28/18 3.87
    12/2018 did radiation therapy
    1/14/19 3.80 434
    3/23/19 2.60 411
    6/22/19 1.16 345
    9/28/19 0.88 361
    1/11/20 1.36 382


    The 1/11/20 PSA started to rise, I saw my radiation oncologist doctor yesterday , he said this rising can be “ benign PSA bounce”, there are 30-40% of his patents had same experience, but he said if I got three time consecutive rising , he will re- concern this and checks my prostate.
    I noticed that on 9/28/19 the PSA started to decrease slowly. I will do my next test in three months not six months , but my doctor asked me to see him in six months.
    Please let me know your opinion, thank.
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    Old 01-17-2020, 08:55 PM   #2
    ASAdvocate
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    Re: my PSA rise after doing rediation therapy on one year ago.

    Quote:
    Originally Posted by efang View Post
    I did Rediation therapy on end of 2018, now my PSA changed as following list:
    Date
    date PSA Testosterone
    6/28/18 3.87
    12/2018 did radiation therapy
    1/14/19 3.80 434
    3/23/19 2.60 411
    6/22/19 1.16 345
    9/28/19 0.88 361
    1/11/20 1.36 382


    The 1/11/20 PSA started to rise, I saw my radiation oncologist doctor yesterday , he said this rising can be “ benign PSA bounce”, there are 30-40% of his patents had same experience, but he said if I got three time consecutive rising , he will re- concern this and checks my prostate.
    I noticed that on 9/28/19 the PSA started to decrease slowly. I will do my next test in three months not six months , but my doctor asked me to see him in six months.
    Please let me know your opinion, thank.
    That’s correct. After primary RT, the PSA can bounce around for up to three years,

    Usually, the standard I see cited is “nadir + 2” before there is recurrence. That would mean that 2.88 is your trouble trigger.

    Your doctor is following the standard protocol.

     
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    Old 01-18-2020, 05:37 AM   #3
    efang
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    Re: my PSA rise after doing rediation therapy on one year ago.

    Quote:
    Originally Posted by ASAdvocate View Post
    That’s correct. After primary RT, the PSA can bounce around for up to three years,

    Usually, the standard I see cited is “nadir + 2” before there is recurrence. That would mean that 2.88 is your trouble trigger.

    Your doctor is following the standard protocol.
    Yes, I asked my doctor about "nadir+2", he just said if I got three times rising in consecutive test, he will concern to check my prostate .

    Thanks,
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    Old 01-18-2020, 09:29 AM   #4
    Terry G
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    Re: my PSA rise after doing radiation therapy one year ago.

    I’m new to this board coming over from a sister board. Regarding rising PSA following RT there is a lot of sound data suggesting it can be a good thing. See ‘PSA Bounce After Radiotherapy’ on ASCOPOST.COM or ‘Love Your Bounces’ on The New Prostate Cancer Infolink. With all PC treatments regular monitoring of PSA is just part of the process. Bounces can typically occur 15 to 40 months following RT treatment when radiation is used as a mono therapy. My RO says he sees bounces on 25 to 35% of patients. He also reminds me that PC is a marathon and not a sprint. For those selecting surgery a bounce even a small one is a reason to be concerned. I’m glad we both have found this board since the information contained is excellent.
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