When does a rising PSA after prostatectomy indicate growth just of normal prostate?
Guidelines dont seem to account for this possibility. Could it just be normal prostate tissue growing back that is leading to PSA, why just assume it is return of the cancer particularly if the PSA rise is quite slow many years after surgery and stabilizing at a low number, ie 0.5 ng/ml?
Answer from: Radiation Oncologist at Academic Institution
The concept of residual prostate tissue after prostatectomy has been around since the advent of the PSA. The idea that BPH could exist within this residual tissue has been suggested for nearly the same amount of time. Very little data exists regarding this concept. It has been demonstrated that resi...
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