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Medical Forum / Diseases and Disorders / Prostate BPH / July 2006

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Concerned about increase in PSA

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MZB - 09 Jul 2006 02:14 GMT
I am 60 years old. I was surprised by a recent PSA uptick at my annual
physical exam.

The data is below. I might add my doctor is not at all concerned. Any
thoughts? (Note that this last one was in 7/06, about 1.5 years after the
previous one)

7/06 2.67
2-05 2.2
3-04 2.15
2-03 2.0
11-01 2.1
10-00 2
10-99 1.7
10-98 1.6
10-97 1.5
10-96 1.3
6-95 1.2
Bob - 09 Jul 2006 05:50 GMT
> I am 60 years old. I was surprised by a recent PSA uptick at my annual
> physical exam.
[quoted text clipped - 14 lines]
> 10-96 1.3
> 6-95 1.

A gradual increase in PSA as we age is expected.  I have read that  0.1
or 0.2 per year can be normal.   It's the accelerated-increase that is
a concern; a problem that you don't seem to have.
 Bob
MZB - 09 Jul 2006 07:01 GMT
Bob:

This last one is slightly accelerated!!

Mel

>> I am 60 years old. I was surprised by a recent PSA uptick at my annual
>> physical exam.
[quoted text clipped - 19 lines]
> a concern; a problem that you don't seem to have.
>  Bob
Bob - 09 Jul 2006 08:47 GMT
> Bob:
>
> This last one is slightly accelerated!!

     A bit, but future PSA test(s) will show if there is concern,
which you doc doesn't see just yet.  Could also be the start of some
prostatitis, easily fixed with antibotics.
 Bob

> Mel
> >
[quoted text clipped - 21 lines]
> > a concern; a problem that you don't seem to have.
> >  Bob
RVer Don - 10 Jul 2006 07:20 GMT
>      A bit, but future PSA test(s) will show if there is concern,
> which you doc doesn't see just yet.  Could also be the start of some
> prostatitis, easily fixed with antibotics.
>  Bob

Or it could be caused by an enlarged prostate.  My PSA went from 4, which is
as low as it's ever been, to 17 over a period of about 12 years.  Finally
had a TURP in 98 and it dropped back to 4 and has remained there since.
Although my uro did a couple of bios during the 12 year period, both
negative, he did not seem to be too concerned.  Said an increased PSA was
quite common with an enlarged prostate.

Don in Tracy, Calif.
Donny - 10 Jul 2006 12:20 GMT
Well, I hope this is the case with me. Had a biopsy last Monday, still
waiting for results. PSA was always around 1.4 for 5 yrs or so, then
recent reading was 5.4. Dr. said DRE felt fine, except for
calcifications, also that I had a 25 chance of Ca based on PSA,  age
54, and negative DRE. Have had no symptoms of prostatitis, and
prostate is about 30 cc's.

>>      A bit, but future PSA test(s) will show if there is concern,
>> which you doc doesn't see just yet.  Could also be the start of some
[quoted text clipped - 9 lines]
>
>Don in Tracy, Calif.
c palmer - 10 Jul 2006 06:42 GMT
From: moo@noway.prudigy.net (MZB)

I am 60 years old. I was surprised by a recent PSA uptick at my annual
physical exam.
The data is below. I might add my doctor is not at all concerned. Any
thoughts? (Note that this last one was in 7/06, about 1.5 years after
the previous one)
7/06 2.67
2-05 2.2
3-04 2.15
2-03 2.0
11-01 2.1
10-00 2
10-99 1.7
10-98 1.6
10-97 1.5
10-96 1.3
6-95 1.2
======
you are lucky to have such a long tracking history.

while a psa rise is common as males age, there are two things that could
help relieve some your concerns.

1. take a two week course of cipro or levaquin and retake the psa test
to see where the psa number is.  this would reduce the chance of number
change due to prostatitis.

2. take a free psa test or psa II test.  this number should be higher
than 28.  

as the individual develops prostate cancer.  this number will drop below
15 as the psa start to climb.  

there is no one particular test that i can think of that will give you a
quick answer to what you are asking, but rather several tests as well as
the DRE and then all the information gathered gives you a better idea of
what's going on.

hope this helps.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
MZB - 11 Jul 2006 00:33 GMT
Thanks for your suggestions. I might add that the DRE was completely normal
and I think I ejaculated within 48 hours of the test (previously, of
course!!).

I guess I'm not too worried. I might get another PSA in 6 months.

Mel

> From: moo@noway.prudigy.net (MZB)
>
[quoted text clipped - 43 lines]
> invariably fatal. Prostate cancer is only sometimes so."
> http://community.webtv.net/PALMER_ENT/doc
 
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