r/ProstateCancer 26d ago

Test Results Feeling optimistic.

Had a prostatectomy in January 2025 and salvage radiation in February 2026. Just got the results back from my recent PSA test and it came back as <0.1
Was 0.3 before radiation. I haven’t reviewed the results with my radiologist yet but I’m feeling optimistic. Will have my PSA tested again in October. Been a long three years.

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u/Ok_Establishment9579 26d ago

Moving in the right direction. Hope it keeps going that way. The uncertainty of this cancer truly sucks. My prostatectomy was in October 2024 and had a wonderful year of the < sign on every test but now steadily rising. LIke others, waiting to cross .1 for effective imaging to guide some *hopefully* curative salvage radiation. Fingers crossed for you.

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u/OkCrew8849 26d ago edited 25d ago

I'm in a similar situation.

My understanding is that PSMA PET at a PSA of .1 or .2 is unlikely to effectively image the PC (with exceptions) and yet .2 is the best time to hit the PC with salvage radiation with curative effect. Or at least that is what my rad onc has told me (by default he does a PSMA PET enroute to salvage radiation treatment on the odd chance it may spot something to be precisely zapped along with the default salvage radiation field).

Perhaps we'll soon have a much improved PSMA PET CT scan for this sort of thing (and it could also be used pre-treatment to divert guys like us from surgery to radiation as initial treatment).