How do you approach rising PSA following radical prostatectomy and early salvage radiation therapy?
What are your action points in terms of PSA thresholds?
Answer from: Radiation Oncologist at Academic Institution
There are several factors that I will take into consideration, including the patient's overall health, the interval from treatment to relapse, the PSA doubling time (rather than a PSA threshold), whether or not they're castrate resistant and whether or not they now have overt metastatic disease. Pat...
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Radiation Oncologist at Kansas City VA Medical Center Agree with Dr. @Anscher
Radiation Oncologist at Virginia Commonwealth University Dr. @Anscher explains perfectly how to approach th...
Answer from: Radiation Oncologist at Academic Institution
In setting of patient s/p RALP and s/p salvage RT:
PSA > 0.2 - PSMA PET/CT
If negative, follow q3 months until PSA > 0.5, then repeat PET/CT
Presumably negative, continue q3 month PSAs until PSA > 1, repeat PET/CT. If still negative, refer to Med Onc for discussion.
Continue q3 month PS...
Agree with Dr. @Anscher
Dr. @Anscher explains perfectly how to approach th...