It can be more difficult after the prostate is removed. Color Doppler, prostacint, or Combidex can help an oncologist to make that determination.
I think that the elevated PSA after surgery is some indication that there may be a tumor that was outside of the capsule. Hopefully, it is still close to, or in the prostate bed, and the expanded reach of the radiation can get to it. Obviously bone scans can find larger concentrations of PSA producing cells. I would say that a .9 would be a large enough concentration to be able to be seen on a scan.
My main point is tho, to try and determine that prior to the radiation if possible. I may elect to do radiation anyway just in case it is close to the bed. These are really tough decsions. Somewhat a roll of the dice, but we can make some educated decsions.
Hope all goes well with Dr. H. I did like her, and may be visiting her again of/when my situation changes.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01