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I had CyberKife radiation for prostate cancer last October. My PSA in January was 1.9. I got my new PSA today (July) and it is 5.8. Is a spike of this magnitude normal? Should I be concerned? I'm a bit worried.
Here are my pre-treatment stats:
Gleason: 7 (3+4 and 4+3)
Risk level: Intermediate
After reading your post, my first thoughts were what did your urologist say about this 300% increase in PSA in only six months? Does she/he have an explanation? Personally, I would be concerned, but there are many reasons you might have an elevated PSA that have nothing to with prostate cancer. These things include prostatitis, BPH, and urinary track infections. With a six month increase such as this, you should investigate the cause. We all hope to hear it was merely some form of infection that a few weeks of antibiotics will clear up. Good Luck!
I got the PSA result yesterday morning (Saturday), so I haven't talked to anyone about it yet. I have an appt with my radiation oncologist a week from Tuesday, so we'll see what he says.
Yes, a 300% increase seems suspicious to me and not (from what I know) reflective of a typical PSA "spike." I too am wondering if I have some type of mild infection going on. After my final radiation treatment in October, I had a bout of radiation proctitis. Since that time, I have had occaisonal pain/pressure in the rectum area, which feels very similar to the proctitis I had in October, so I wonder if that or an infection may have caused such a dramatic bounce? I don't know. I'll let you know what I find out in about a week.
I think we communicated on the Cyberknife site during your treatments. I was starting my treatments in december. Pre treatments PSA 5.7, 3 mo. 2.4 , now just got 6 mo. at 1.7. So your 9 mo test is 300 % higher. Please let us know as soon as you can and hope you get some clarity from your Dr.
Glad you're getting some good PSA numbers there. Keep it up!
I saw my RO earlier this week. He thinks my spike is either a PSA "bounce" or perhaps there's still cancer there. We're going to check the PSA again in a few months and go from there. If it's high again, we may do some image scans.
I spoke with another RO who is an acquaintance, he thinks it's simply a spike and will go back down, but we'll see.