PSA testing post-treatment is as important as for screening. Contray to standard American guidelines I have been testing monthly for a year. usPSA < 0.01 is my benchmark number. Sometimes I use labs that report to thousands and like <0.006 even better; which I had for over two years. But after the 0.01 inequality sign dropped I only use labs reporting to thousands. IMO tracking to hundreds from 0.01 to 0.1 or 0.2 risks a timing opportunity for another curative attempt. If/when (anticipating) I reach 0.03-0.05 I will seek imaging in Europe in hope of 1-2 treatable mets being identified. ...
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Today marks three years since my third curative attempt, salvage robotic extended pelvic lymph node dissection surgery. Today is also my granddaughter’s 3rd birthday and we are celebrating!!! My ePLND was done at usPSA 0.1; outcome <0.01. This was preceded by salvage RT one year prior, also done at 0.1; outcome 0.075. My RP was two years prior at PSA 10.4; outcome 0.05. Last June the < dropped. Been testing monthly since graphing rise; most recent 0.027. If/when reaches 0.05 I hope to return to Europe for advanced imaging as I did prior to ePLND. If lymph nodes lite up I’ll go for fourth curative attempt. All the best to all of us! ...
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