A member asked:

Did rp in 2010.my cancer was small, non agressive, no vascular invasion.after surgery psa undetectable .in september risen to 3.3 and october 5.5 .help?

3 doctors weighed in across 2 answers
Dr. Liawaty Ho answered

Specializes in Hematology and Oncology

Biochemical relapse: Further information re- the pathology from the radical prostatectomy would be needed-obviously for beter understanding. But, what you describe here is a case of biochemical relapse. Discuss further with your doctor- you likely need to be treated with radiation therapy directed to the surgical bed area and close monitoring. If psa continue to go up- consider scan imaging to rule out distant spread.

Answered 10/4/2016

5.6k views

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Dr. Terence Chapman answered

Specializes in Urologic Oncology

Need a new workup: Clearly this should be considered a recurrence. A complete evaluation (at a cancer center if possible) is in order and a simple physical exam (ie, rectal) might detect evidence of cancer. Other imaging studies may be helpful such as mri, bone scan or prostascint which is a nuclear medicine test designed to show "hotspots" where cancer may have spread. Review of pathology from surgery recommended.

Answered 3/26/2013

5.5k views

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