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I'm a 78 Year old healthy (other than PCa) individual and not over weight by any means. PSA in Mar. 2016 of 20. Aug 40 PSA and in Dec. 55. Radical Prostatectomy Dec.2016 at John Hopkins. Follow up with surgeon in March 2017 with a PSA of 0.1 undetectable. But due to the biopsy of the prostate indicating that the cancer had left the prostate as well as a Pet scan, with PSMA in Dec. 2016 prior to surgery showing many areas of PCa. Dr. reccommended that I start radiation treatment right away at follow up. With a PSA of 0.1 I suggested we wait 3 months and if the PSA was still 0.1 then no radiation therapy. June follow up: PSA 0.4. Now we have to do something! My questions to this forum are: Would you start radiation therapy now, or watchful waiting? The PSMA will not show the cancer under PET Scan at such a low PSA number now, so it is not available to be used this go around. Advise?