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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2008Latest PSA
I'm still around, just lurking. Latest PSA yesterday was 0.2, a bit higher than the previous 0.14, but I don't think the difference is significant enough to fret over at this time. It's been about 3 1/2 years since the brachytherapy and 2 years following a bypass. My only complaint falls in the ED department, my GP commented (and rightly so) that when arteries become clogged, it's not only the plumbing in your chest that's affected. Tom > my GP commented (and rightly so) that when arteries become > clogged, it's not only the plumbing in your chest that's affected. My VA GP -- NOT my uros -- not only refused to agree with that, but refused to even look it up, even after I explained that the primary physical cause of ED at our age is vascular damage. The idiot still works there despite the complaint I filed. We gotta watch these guys. I.P. >> my GP commented (and rightly so) that when arteries become clogged, it's >> not only the plumbing in your chest that's affected. [quoted text clipped - 5 lines] > > I.P. Absolutely, I believe it was Strum who said "MD" does not stand for Medical Deity. I'm fortunate that my current Drs. listen to questions and give answers and explanations. I had a cardiologist that was always too busy to talk, I did us both a favor and lessened his work load. Tom > I'm still around, just lurking. Latest PSA yesterday was 0.2, a bit higher > than the previous 0.14, but I don't think the difference is significant > enough to fret over at this time. Tom, I agree that fretting is not warranted. PSA does vary from day to day. I was quoted a number of up to 30% variation as normal. You're still in that range. Also, although most PSA bounces occur in the first 36 months after brachytherapy, there are recorded cases of it occurring 4-5 years afterwards. So that's a possibility too. Good luck. Alan Tom, You should consider having salvage radiotherapy. If you are going to do that, better sooner than later. Every day counts. I posted on my blog a news article from ASCO about the benefits of RT after surgery, even for *high-risk* patients. I suggest you read it. (It's called, "ASCO", etc). Good Luck, LFC On Feb 19, 4:49 pm, "brainyblog...@gmail.com" <brainyblog...@gmail.com> wrote: > Tom, > > You should consider having salvage radiotherapy. If you are going to > do that, better sooner than later. Every day counts. ... Not in this case. Tom had brachytherapy, not surgery. He still has a prostate, and small amounts of PSA are normal for post-radiation patients. I believe the American Society of Radiation Oncologists (ASRO) uses 0.4 as the criterion of success for radiation and some docs use even higher numbers, like 1.0. If us radio-actives do fail, further radiation is usually not an option because the damage would be too great. Traditionally, ADT is all that's left, but some docs are using HIFU and maybe cryotherapy for local failure after radiation. Alan > On Feb 19, 4:49 pm, "brainyblog...@gmail.com" > <brainyblog...@gmail.com> wrote: [quoted text clipped - 7 lines] > He still has a prostate, and small amounts of PSA are > normal for post-radiation patients. Again, Leah's advice is dangerous. |
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