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Medical Forum / Diseases and Disorders / Prostate Cancer / July 2007

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psa results

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Bill. P - 25 Jul 2007 20:57 GMT
Psa results.

11-24-06  0.04
01-24-07  0.05
04-24-07  0.07
06-07-07  0.04 (6 weeks)
07-24-07  0.06 (6 weeks) +90 days

These results all from the same lab and it is hard for me to
understand what is going on are they going up or down, and should I be
worried. My Dr doesnt seem to be too worried but of coarse he is not
the one with Pc
That for any ideals as too what may be occuring
chasjac too - 25 Jul 2007 12:54 GMT
> Psa results.
>
[quoted text clipped - 9 lines]
> the one with Pc
> That for any ideals as too what may be occuring

It's possible that the +/- 0.015 variation you see in your numbers is within
the margin of error for the test.  It's also possible that the surgeon (you
had a RP, right?) missed a sliver of benign prostate, and the numbers will
float around 0.055 for years to come.  

If you have a trend of 3 rises in PSA, that's when you start worrying.  but
you're not there yet.  Ask your doc about the lab, and in particular about
the precision of the test (0.06 +/- ???).  

--charlie

Signature

6/2006 PSA 5.2
          DRE suspicious
7/2006 Biopsy
          2 of 10 positive
          Gleason 7(3+4)
11/2006 LRP
           Clear margins
1/2007 PSA < 0.01
3/2007 PSA < 0.01
6/2007 PSA < 0.01
so far, so good

Steve Jordan - 25 Jul 2007 21:15 GMT
> Psa results.
>
[quoted text clipped - 7 lines]
> understand what is going on are they going up or down, and should I be
> worried.

At the extreme ends, what is involved is a difference of 3 millionths of
a gram per thousandth of a liter.

I believe that this is well within the scope of inherent lab variables
such as calibration of the lab equipment and differences between batches
of reagents.

Or, as a good and knowledgeable friend puts it, it's "caca de mosca."
Fly specks.

Relax.

Regards,

Steve J
Steve Kramer - 26 Jul 2007 01:21 GMT
> Psa results.
>
[quoted text clipped - 9 lines]
> the one with Pc
> That for any ideals as too what may be occuring

Let us review....

You had surgery in 2003 and discovered failure in 2004.  You had radiation
at the beginning of 2005.  For the next 2½ years, your PSA has been wavering
at a level undetectable by a standards assay.  Due to the vagaries of
prostate cancer, I would be ignorant or insane to call you cured, but you
are as cured as anyone is 2½ years after SRT.

Congratulations.

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

fred - 26 Jul 2007 01:44 GMT
Bill

After my SRT, the rad told me (subject to all the usual qualifications
and caveats) that I could reasonably hope for a nadir of about 0.04 if
the treatment was successful, and that the PSA level thereafter would
likely bounce around, but stay at a reasonably low level.

Seems to me you're right in line with his comments!

Fred

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