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Hormone treatment following radical prostatectomy?

Question
I have had a radical prostatectomy followed by radiotherapy to the prostate bed due to a rising PSA
level. Now the PSA level is rising again (0.18 - 0.22 - 0.3). My consultant suspects micrometastasis. He says it is too early for hormone therapy. I am not so sure. I would like to be referred to a specialist centre.
Answer
Despite a a radical prostatectomy and radiotherapy your PSA is rising. If it doubles again then hormone treatment would be appropriate. There is a case for performing an MRI scan of the pelvis. Probably a bone scan would not detect disease at this PSA level
Date submitted27 January 2009