Posted 6/5/2020 6:51 AM (GMT -6)
Hey there, Artist Mark. It looks like you're doing the ultrasensitive PSA tests. I'm not very current on that, but it is interesting. I've never had that done. After radiation and ADT, when my T recovered we expected some significant level of PSA to develop. Some are able to have an "undetectable" PSA from their irradiated prostate, but it isn't always the case. My PSA check is just the standard type.
My latest PSA interval has been extended to 6 months for the first time in 7 years. (Still undetectable since resuming ADT.)
Due to my relatively low PSA at diagnosis, all of my cores being G9, and the type and amount of G9, and cT3a stage, I've always been skeptical of how valid my PSA number is anyway. After coming off of ADT in spring 2016, it was kind of wandering upwards (quickly as T rose, then slower), leveling off, rising, and frankly making me crazy. My oncologist was pretty unconcerned despite many studies I found, some I've shared here, where G9 cases are fairly rare and not well understood, usually only tangentially addressed as a minor observation due to relative rarity.
The only real followup plan I had after primary treatment was to go back on ADT when we decided the PSA indicated we should. So, as one skeptical of my PSA's utility, I decided to go back on ADT anyway. This is a moderately controversial choice, and I haven't said much here about it (too much sturm and drang that I'm not interested in debating). Intermittent ADT is a shaky concept for a G9, especially those of us with low-PSA producing versions. Anyway, now that I've decided to be on "lifelong ADT" as an aggressive move, there aren't many other options until it becomes "castrate resistant" someday.
The best part of this is that prostate cancer has faded into the background of my life, not something that occupies much of my mind anymore. (I rarely visit here, but glad to see some familiar names when I do.) I'm having 6 month PSA checks now so I don't even need to plan for it much. I haven't seen my oncologist in a year and a half, and won't unless and until my PSA trends up. My GP orders the PSA checks.
Hoping all the best for you!