I am 3 months post-RRP with no complications, But I do have a question about
PSA readings now. One month following surgery, PSA was 0.11, then two
months following surgey it had come down to 0.03 which the uro feels is a
good thing and seems pleased. In thinking about it, though, I wonder why,
if the prostate is gone, the PSA would be anything other than 0.00?
Anyone have any info or thoughts about this? Thanks in advance.
Dave
Heather - 19 Jul 2007 18:10 GMT
>I am 3 months post-RRP with no complications, But I do have a question
>about PSA readings now. One month following surgery, PSA was 0.11,
[quoted text clipped - 4 lines]
>
> Anyone have any info or thoughts about this? Thanks in advance.
Dave....check via Google, but I am 99.9% sure that the adrenal glands
produce enough to keep it at 0.02 or so.
Heather
Steve Jordan - 19 Jul 2007 18:40 GMT
On July 19, Heather replied to Dave:
(snip)
> Dave....check via Google, but I am 99.9% sure that the adrenal glands
> produce enough to keep it at 0.02 or so.
Perhaps Heather is thinking of testosterone precursors (from the adrenal
cortexes).
See The Merck Manual at: http://www.merck.com/mmpe/sec12/ch153/ch153a.html
Regards,
Steve J
Heather - 19 Jul 2007 18:48 GMT
Thanks Steve....this getting old is a SOB....lol. I knew I wasn't 100%
right, but should have checked. However, Google did mention it and I
remember when my Dad had Pca, his adrenals were affected. And that
probably doesn't make sense either, so will just leave this one alone!!
Cheers.....Heather
> On July 19, Heather replied to Dave:
>
[quoted text clipped - 12 lines]
>
> Steve J
Steve Jordan - 19 Jul 2007 18:16 GMT
On July 19, Dave inquired:
> I am 3 months post-RRP with no complications, But I do have a
> question about PSA readings now. One month following surgery, PSA
> was 0.11, then two months following surgey it had come down to 0.03
> which the uro feels is a good thing and seems pleased. In thinking
> about it, though, I wonder why, if the prostate is gone, the PSA
> would be anything other than 0.00?
The lab test report, a copy of which Dave should acquire along with
every other document pertaining to his PCa, probably actually reads
"<0.03 ng/mL." Translation: less than three one-hundredths of a nanogram
per milliliter.
The test equipment is simply unable to measure below a certain level.
Therefore, the labs never report a zero.
Any PSA reading equal to or less than 0.05 ng/mL is considered to be
"undetectable." It's good news, but keep checking periodically.
Regards,
Steve J
"If you know the enemy and know yourself, you need not fear the
result of a hundred battles. If you know yourself but not the enemy,
for every victory gained you will also suffer a defeat. If you know
neither the enemy nor yourself, you will succumb in every battle."
--Sun Tzu, "The Art of War"
Steve Kramer - 19 Jul 2007 20:32 GMT
>I am 3 months post-RRP with no complications, But I do have a question
>about PSA readings now. One month following surgery, PSA was 0.11, then
[quoted text clipped - 5 lines]
>
> Dave
Welcome Dave, to the club not one of us chose to join!
Your PSA is in your blood. You had prostate cancer and it generated PSA.
I'm guessing that one month after you had the gland removed, you still had
some left over in your blood. I don't know why some docs do a 1-month
post-op PSA, but that's in the past.
0.030 is very, very good. Especially if it was reported as " < 0.030 "
which means "less than" and also means it is so low, it cannot be detected
using the assay your lab uses.
In other words, VERY GOOD NEWS!!!
Very few people have 0.000 PSA because the prostate is not the only gland
that produces it. However, some docs and labs report "zero" to their
patients. In the end, it pretty much means the same thing, though some want
to know the exact amount out to the thousandths of a nanogram. You should
be ecstatic with 4/100ths of a nanogram (millionth of a gram).
Thanks for stopping by. I hope you stay awhile.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32 PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04 (06/12/2007)
Non Illegitimi Carborundum
mdrawson - 19 Jul 2007 23:24 GMT
Thank you everyone for the responses. Next PSA is in Sept, so we'll see
what that shows.
>>I am 3 months post-RRP with no complications, But I do have a question
>>about PSA readings now. One month following surgery, PSA was 0.11, then
[quoted text clipped - 26 lines]
>
> Thanks for stopping by. I hope you stay awhile.