Post RARP PSA level

Hi Adrian56,

Great to hear you are still clear. My pre op PSA 13.8 on regular annual health check, totally asymptomatic( missed previous 2 annual health checks avoiding hospitals due to Covid….oh well…)

Staging post op pathology pT3b pNO and Gleason 4+5 ( percentage of pattern 5 was 30%).

Seminal vesicle invasion , from the pathology report:

Part A is designated "prostate and seminal vesicle and anterior bladder neck" and consists of a 75.2 gram, 6.5 cm right to left by 4.5 cm apex to base by 4.5 cm anterior to posterior prostate with attached seminal vesicles (right is 4.1 x 1.5 x 0.5 cm; left is 4.1 x 1.5 x 0.6 cm) and vasa deferentia (right is 5.5 cm in length by 0.7 cm in diameter; left is 3.7 cm in length by 0.8 cm in

Cheers Clinton

Hi Clinton. I did respond to your original post but you may not have seen it. We seem to have similar journeys

Clinton,click on my name and have a look at the beginning of my profile to see the journey. 

The scan that included the knees was the Gallium 68 PSMA scan and the PSA was 4.6, that was my third recurrence.

Surgery 2024.

Salvage RT to prostate bed not HT due to stricture issue ,the PSA did drop for a while so something was presumably in the bed .2017

5 SABR treatments to pelvic lymph nodes August 2022.

At this point we took advantage of private medical insurance, the NHS does have restrictions of the number of tumors they will trea.

5 SABR treatments to second pelvic lymph node plus bicalutamide May 2023.

There is research on the different tracers used in PSMA scans, my 1007 tracer didn't pick up the second tumor,but it was described as very small. Hope this helps

Thanks Chris 

Any news yet mate?

Great news regarding no hot spots! Its certainly a mystery, but at least the readings are heading in the right direction.

I hope that they solve the mystery and that you make a full and speedy recovery.

Please keep us updated.

Edited by member 01 Jun 2024 at 21:02  | Reason: Typo

Hello mate. Thank you very much for the update.

Presumably he confirmed that your PSMA scan was clear? ( PS: I keep getting PSMA (Prostate Specific Membrane Anti-gen) and PMAS (Police Mutual Assurance Society) mixed up. One helps save your life, the other just helps you save.😊)

Its a shame that your operation wasn't completely successful  in removing all the cancerous cells. It seems quite a common problem that cells are left behind in the prostate bed. What's not so common is for your PSA to be almost as high post op as it was pre op, and that still mystifies me. 

However, I'm so pleased that you've quickly been give a follow up treatment plan and hope wish you have a speedy and full recovery. 

Please, continue to keep us updated.

Edited by member 07 Jun 2024 at 09:33  | Reason: Additional text

Hi Clinton,

It’s a pity you’ve got to go through SRT having already had an RP,but that’s always a risk with surgery on borderline cases and at least you have a Plan B. You always feel better once a treatment plan is in place and I wish you all the best that they manage to zap anything that’s left.

Good luck,

Derek

Hi Everyone ,

Clinton was my username when I started on this forum . My name is Des and I actually live in Clinton. I will being using Des from here on!

Cheers Des

Welcome Des from Clinton😊