increasing psa following radiation.

Other than Bone Scan, MRI, Catscan,or Xray are there any methods of find small cells producing PSA?

My psa has gone from 0 after Radiation (4-04 to .2 as of 12-04.  Other history:  63, super healthy, cancerous family history, Radical in '93 then stable at .2-.4 until earlier this 3-04.

Now at .2 psa, am I out of options if there are no means to specifically find the little buggers? (don't believe in hormon therapy)

Thanks for your help.

[Kevin Pho, MD]

The imaging options that you listed are pretty comprehensive in evaluating the prostate.

Another consideration would be the ProstaScint scan which can detect metastatic disease in up to 50 percent who is thought to have recurrence.

Another option would be the PET scan, which sometimes can detect lymph node activity in those with a rising PSA after initial therapy.

You may want to discuss these options with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b