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esteem2 10-06-2012 08:41 PM

High PSA levels after RP
I underwent RP in 2006 followed by Radiation 1n 2007. Since then my PSA remained under 0.7.When I recently got my PSA done, the result was shocking. It was 17.5.My recent bone scan and MRI of pelvic area are negative.
What could be the reason for this sudden rise and what treatment I have to undergo now ?

Tall Allen 10-07-2012 12:22 AM

Re: High PSA levels after RP
That must have been quite a shock, but because your PSA never got to undetectable levels after your RP, you knew that there was something left in there. What did your post-RP pathology reports say? Were margins positive? Lymph nodes? Gleason score? Extent of involvement?

Usually they would start hormone therapy right away and follow it up with a course of radiation after a couple of months. They may sometimes recommend continuing the hormone therapy afterwards for a few months or up to two years, depending on the Gleason score and other risk factors. Hopefully, the radiation can clean up what the RP missed.

- Allen

esteem2 10-07-2012 04:58 AM

Re: High PSA levels after RP
Thanks Allen for your reply.Gleasons score was 7 of biopsy. They did not give any harmone therapy but put me on 7 weeks radiation.As mentioned earlier all was well for six years and now the PSA has shot up

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