Posted 8/11/2016 1:43 PM (GMT -5)
Hubby saw med onc today. Even though PSA rose from .93 to 1.7 in four months, he wasn't concerned (yet) about PSADT. However, he does want bone/CT scans in November. Said probability of anything showing up would be around 30% and if it does then he would be stage 4 and started on Lupron for life. Was hoping today's meeting would be that scans were going to be performed for a baseline with almost zero possibility of anything showing up, then Casodex would be used intermittently. Neither of which happened. Doc mentioned the tertiary 5 as being the possible culprit for the rise in PSA and maybe mets this early. Anyone have bone scans with a recurrent PSA at around 2 that showed anything? And do the scans pick up every little non-cancerous spot (arthritis, previous surgery, etc).
Age 58 at surgery
Sep 2013 PSA 3.7, clinical stage T1c, 3+4
RRP 10/31/2013, path stage pT3bN0Mx
SVI bilaterally (direct, not distal), LVI, pos margin at apex (3+3), EXE at base
4+3 w/ tertiary 5 (65% 4, 35% 3, 5% 5), tumor involved 15% of gland
12/2013 PSA 0.02; 2/2014 PSA 0.03; 3/14 PSA 0.02; 4/2014 PSA 0.02; 6/2014 PSA .03
MRI/bone scan negative
7/01/14 to 8/27/14 - 40 sessions adjuvant radiation
11/26/2014 PSA three months after radiation: .03 (same as before radiation)
2/25/2015 PSA six months after radiation: .05
5/21/2015 PSA nine months after radiation: .17 (referred to Med Onc at Moffitt)
7/20/2015 PSA .41 (more than doubled, classified "incurable, micrometastatic")
10/5/2015 PSA .47 (slowed down considerably; second opinion from MSK - same plan as Moffitt, wait and see)
1/6/2016 PSA .62 (only half increase - at least it didn't double)
3/30/2016 - .93 (took about 5+ months to double from the 10/5/2015 reading)
08/08/2016 - 1.7 (PSADT at 6.1 months)