My husband was diagnosed in Sept of 2015. His PSA was 9.3 at that time. First biopsy result: adenocarcinoma Gleason 5+3=8. He had a RP in Nov 2015. RP biopsy report result: 4+5=9. Prostate weight was 82 gm: 80% prostate involved: 5 positive lymph nodes. Staging: pT3b pN1.
After RP the first PSA in Mar of 2016 was: .185, June 2016: .313 He then started 3 month Lupron shots. With Lupron his PSA dropped down to <0.02 in Mar of 2017, then began to raise.
In Oct of 2018,when his PSA went to:.283 he began 6 month Lupron shot and MO added Erleada. Once again PSA dropped. This drop was to: <0.13., and that was Apr of 2019. There was then a climb up to:.53.in Oct 2019.
He had a choline11 PET scan at Mayo in Oct 2019. This showed 2 positive, and 1 questionable positive lymph node, in his pelvis. He stayed on 6 month Lupron shot and Erleada was stopped.
His last PSA in Dec, before IMRT was started was:.72. IMRT was done (not at Mayo) from Dec 2019 thru all of Jan 2020. His RO retired 1 week ago.
Yesterday he had his 1st PSA since radiation. It is now: 2.498! RO had stated that PSA can go up slightly after IMRT, and it could possibly take a year or more for a true PSA result. Is this raise considered a normal raise, or has the IMRT failed?
As luck would have it both MO and Urologist are out of the office today. Both nurses have said they will get back to us on Mon.
Anybody have any ideas on our next steps?
Post Edited (ourtime) : 7/17/2020 11:24:15 AM (GMT-6)