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Detachable PSA levels 5 years after surgery
nccmking posted:
I had an aggressive prostate cancer at age 45. Now, almost 6 years following surgery, I have detachable levels of PSA at 0.19, slowly rising about 0.03 every 3-6 months. Doctor doing a wait and see method for next 3-6 months to see if level rises above 0.20 then plans to radiate old prostate area to kill off any active cells that may have attached themselves prior to previous surgery. Your thoughts?,
MIKERAPHONE responded:
First off do not panic ! Good news is it took 6 years for your psa to become detectable doesn't seem too aggressive , monitor the situation with your doctor and pray that your psa stabilize !
Basir U Tareen, MD responded:
The slow rate of rise suggests a local recurrence as opposed to metastatic disease. Make sure they are checking an ultra-sensitive PSA. I would go ahead and get plugged in to see a radiation oncologist. You are young and you should treat aggressively. I would get an MRI and then start radiation therapy.

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