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Medical Forum / Diseases and Disorders / Prostate Cancer / January 20061 year + Post Operative PSA
In 2004 I had RP surgery with a Gleason 6 and a PSA of 3.4 (age 68 at the time). The surgery confirmed the orignal Gleason of 6, with the margins clean, Extraprostatic Extension clean, Seminal Vesicle invasion clean, Lymphovascular Invasion clean and a Stage of T2C. Since then I have no problem with incontinence, but as of right now there is no erectile ability. At the age of 70 I can live with that if it is to be. I did not have any erectile problems before surgery. So far I have had 3 PSA blood test with the ultra sensitive system. They were: 2/2/05 <0.006 6/28/05 <0.006 1/3/06 0.01 I was a little concerned abut the rise in the PSA. However, my doctor assured me that there is nothing to worry about. He stated that the ultra sensitive blood test sometimes picks up a lot of "noise" that distorts the readings. However, it is an increase and I am scheduled for a July follow up. He also pointed to the fact that the standard is < 0.1, which I obviously am far from. Should I be overly concerned. Thank you I wouldn't be concerned. Your post surgery report is what we all wish and hope for. If it is bothering you - then go back and do it again this week. Thats what I would do. The ultra sensitive tests are at times unreliable. I had two taken at the same time at a hospital that was switching to the ultra sensitive method. The old system had me at <0.1 the ultra sensitive had me at .3. I took it again and it was <0.01 So your dr is correct - the readings can be distorted at times from noise etc..... Wishing you <0.1 for the rest of your life. Dave P > In 2004 I had RP surgery with a Gleason 6 and a PSA of 3.4 (age 68 at the > time). The surgery confirmed the orignal Gleason of 6, with the margins [quoted text clipped - 24 lines] > > Thank you > In 2004 I had RP surgery with a Gleason 6 and a PSA of 3.4 (age 68 at the > time). The surgery confirmed the orignal Gleason of 6, with the margins [quoted text clipped - 22 lines] > > Should I be overly concerned. No! You are to be congratulated. The standard is <0.1 and you are 10/100ths of that mark. You were 6/100ths of that mark. I cannot tell you how many time we have had people concered over possible 'spikes' of .8 or so and here you are worrying about a spike of .004? I think you are in great shape! > So far I have had 3 PSA blood test with the ultra sensitive system. ... > Should I be overly concerned. I was 4+4 and 4+3 w/G=8.7 and seminal vesicle involvement (BOO!), but clear margins (Yeah!). My post-op PSAs went .006, .006. .006, and .012. I get my next PSA next week. Concerned? I suppose, but it's not something I think about. It's gonna do what it's gonna do, I can't do a damn thing about it of any significance, WON'T do a damn thing 'til it does "come back", and will decide WHAT to do WHEN it comes back, partly dependent on HOW it comes back. PSA? Not unless it goes wild, if then. Mets or symptoms? Yeah, it's time to act. How? Depends. Damn. Seems our lives revolve around Depends whether we're continent or not. I.P. > In 2004 I had RP surgery with a Gleason 6 and a PSA of 3.4 (age 68 at the > time). The surgery confirmed the orignal Gleason of 6, with the margins [quoted text clipped - 24 lines] > > Thank you This is hardly an rise in PSA. I feel that this is a problem with the ultra sensitive test. It gets guys worried about that second and third decimal point. Even if the test was VERY accurate with no "noise", a change of such small dimension is not really a trend yet. I think your PSA of 0.01 is excellent. Dale P |
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