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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Tests To Confirm The Eradication Of Cancer In The Prostate

I have just heard that after having my prostate removed and radiotherapy my psa level after 6 weeks is 0.18. The oncology dept do not want to check it again until May/June but I would like to know if this means there is any cancer remaining - would a scan confirm this ( I will pay for this if necessary) ? it seems that psa tests are not that accurate - I am an otherwise healthy 67 year old still working full time and just want to know sooner that the cancer has actually gone ( there was only 1cm outside of the prostate). Thank you
Fri, 30 Mar 2018
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Infertility Specialist 's  Response
Hello,

Currently, there is no role for monitoring with prostate-specific membrane antigen (PSMA) PET scan, or frequent prostate-specific antigen (PSA) estimations and presently your PSA level is pretty normal. If you develop symptoms in the form of bone pains, breathlessness, lower abdominal pain etcetera, then you can get a PSMA PET done. Frequent monitoring of PSA won’t help in early detection nor has early detection of increased PSA lead to any meaningful survival benefit.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Avanti Sathineedi
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Suggest Tests To Confirm The Eradication Of Cancer In The Prostate

Hello, Currently, there is no role for monitoring with prostate-specific membrane antigen (PSMA) PET scan, or frequent prostate-specific antigen (PSA) estimations and presently your PSA level is pretty normal. If you develop symptoms in the form of bone pains, breathlessness, lower abdominal pain etcetera, then you can get a PSMA PET done. Frequent monitoring of PSA won’t help in early detection nor has early detection of increased PSA lead to any meaningful survival benefit. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Avanti Sathineedi