What do you use for post-treatment follow up for prostate cancer patients whose cancers make little to no PSA, such as very high Gleason grade/neuroendocrine tumors?

Topics: Radiation Oncology • Genitourinary Cancers

Do you follow a routine imaging schedule such as regular FDG-PET scans?

Answer from: Radiation Oncologist at Academic Institution

We can probably separate the question into two categories: the rare prostate cancers that make absolutely no PSA and those that make relatively little PSA. For those that make zero PSA, then I've generally followed them with imaging similar to how one might follow a small cell cancer of any primary ...

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Radiation Oncologist at Beth Israel Deaconess Medical Center/Harvard Medical School
It is unusual for PSA increases to be totally abse...

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