18 months post IGRT Results

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Hi Group,

Just downloaded my 18 month post IGRT results direct from the lab. PSA not was expecting; it has risen from 1.98 3 months ago to 4.92 yesterday. I have an appointment with my Oncologist on Thursday morning, can anyone advise what questions I should be asking? I do intend to ask for a retest just in case, but I can't see this being a 'bounce' as level has more than doubled in 3 months. Previous test had shown a small increase from 1.78 to 1.98 so I'll be asking Onco if we are looking at biochemical failure yet. Anyone been in a similar position and then found PSA went on to fall? I figure I should have reached PSA nadir by about now.

Really don't want to start ADT just yet ! Though guess I will have to have that discussion with Onco. If doubling time continues at this rate is ADT likely to extend life significantly?

I'm 50, gleason 7 (4+3) and PSA 5.56 at time of diagnosis, stage T2a N0M0.

Malaga,Spain

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