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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2004HEL,P! High and increasing PSA and high free PSA
My blood test shows PSA 20 and a free PSA of 4, nothing found in the biopsi. PSA have increased from 17 to 20 in 3 months. What to do? All replies are most appreciated. Best regards Ake > My blood test shows PSA 20 and a free PSA of 4, nothing found in the biopsi. > PSA have increased from 17 to 20 in 3 months. What to do? In those circumstances, most urologists would suggest repeated biopsies further down the line. > All replies are most appreciated. > > Best regards Ake First, you would be well served to go to alt.support.cancer.prostate Second, my instincts tell me that you have prostate cancer. You may also have another prostate problem (which is almost certainly unrelated), but a PSA 20 and Free PSA of 4% is very much an indication of cancer. How many cores were taken in your biopsy. Six is far too few. Twelve can still miss cancer. With your scores, I would ask for an 18-needle biopsy. You may not have cancer. But, you need to know for sure.  SignatureProstate Cancer Survivor (so far), not a doctor PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .3 .4 .8 EBRT 05-07/2002 @ 47 PSA .3 .2 .2 .2 .3 Erection 05/12/2003 @ 48 HTbegins 07/21/2003 @ 48 PSA .1 Lupron 7/03, 8/03, 12/03 > My blood test shows PSA 20 and a free PSA of 4, nothing found in the biopsi. > PSA have increased from 17 to 20 in 3 months. What to do? > > All replies are most appreciated. > > Best regards Ake > First, you would be well served to go to alt.support.cancer.prostate > [quoted text clipped - 14 lines] > > > > Best regards Ake Dear Steve! My free PSA is 4 or 20% which means that I am in an grey area. I have had no medicin which could have any influence upon teh readings.The number of needles were 6. I will see my doctor within a couple of months and now I try to educate myself as much as possible. Ake Holy cow! 20%?!? I was way off in my answer then. SignatureProstate Cancer Survivor (so far), not a doctor PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 PSA .1 .1 .1 .3 .4 .8 EBRT 05-07/2002 @ 47 PSA .3 .2 .2 .2 .3 Erection 05/12/2003 @ 48 HTbegins 07/21/2003 @ 48 PSA .1 Lupron 7/03, 8/03, 12/03 > > First, you would be well served to go to alt.support.cancer.prostate > > [quoted text clipped - 20 lines] > months and now I try to educate myself as much as possible. > Ake > First, you would be well served to go to alt.support.cancer.prostate > [quoted text clipped - 14 lines] > > > > Best regards Ake My free PSA is 4 or 20% which means that I am in an grey area. I have had no medicin which could have any influence upon teh readings.The number of needles were 6. I will see my doctor within a couple of months and now I try to educate myself as much as possible. Hi Ake...During those 3 months that your PSA went from 17 to 20 (by the way, this isn't much of a move, it could just be "noise" in the measurement), did your doc put you on an antibiotic like Cipro? A psa of 17-20 is pretty high, but coud be caused by a few things other than prostate cancer, such as an infection. Hence, taking an antibiotic for several weeks and then remeasuring the PSA could be useful. When you say your free PSA was 4, do you mean 4.0 or 4%. Often the ratio of free / total PSA is used as an indicator of the presence or absence of cancer. Ratios greater than 25 usually signal the absence of PCa, ratios less than 15 suggest the presence of PCa. If your free PSA was actually 4.0 ng/ml, then you are in the grey area between 15 and 25%. If you meant that your ratio was 4%, then that is a different story. Also, how many samples did the uro take during the biopsy? It's a good idea to take 12-16 samples. I'm not sure where you live, but color doppler is an imaging technique that can be used to find small amounts of PCa that a random biopsy sampling might miss. This technique is available at a few places around the US, and perhaps elsewhere. You can search for it on Google and read more about it...Best wishes and good health, Ron > My blood test shows PSA 20 and a free PSA of 4, nothing found in the biopsi. > PSA have increased from 17 to 20 in 3 months. What to do? > > All replies are most appreciated. > > Best regards Ake > Hi Ake...During those 3 months that your PSA went from 17 to 20 (by > the way, this isn't much of a move, it could just be "noise" in the [quoted text clipped - 24 lines] > > > > Best regards Ake Dear Ron! See my answer to Steve. I will try to find something to read about the color doppler test. you didn't give you age, but assuming you are in the age group 40 + the stats you gave indicate that something is going on. they should give you a two week course of antibiotics and then pull the psa. if it is still elevated, then further investigation should follow, which means another biopsy. remember, the needles of the biopsy is like shooting into a haystack and trying to find the needle. the one thing that the doctor has going for him is the TRUS unit. sometimes, it takes two or three biopsies before they hit pay dirt, so to speak. but if you psa and free psa remain in the range they are now, then if it were me, i would look for a color doppler unit to do the next biopsy. they are more accurate. ~curtis knowledge is power - growing old is mandatory - growing wise is optional > you didn't give you age, but assuming you are in the age group 40 + the > stats you gave indicate that something is going on. [quoted text clipped - 13 lines] > > knowledge is power - growing old is mandatory - growing wise is optional Tank You Curtis! To start with I am 65. Your advices are interesting to me. I will discuss this with my doctor. I am living in Sweden and i am not sure that the color doppler test is used here but from what I have read it seems to be an interesting method. I agree with You that knowledge is power, especially when it is about prostate problems. To start with I am 65. Your advices are interesting to me. I will discuss this with my doctor. I am living in Sweden and i am not sure that the color doppler test is used here but from what I have read it seems to be an interesting method. --------------------------------------- since you are trying to acquire as much information, this goes into the for what it's worth dept. for some reason, it is in the male's life that he acquires prostate cancer in his 60's, and the average age that it is found is age 65. it should be noted that they said that the prostate cancer found later in life is usually in a further stage (stage T2) than if found if men that are younger. (i didn't make that up and not sure if i agree with that if the man has a regular schedule health appts, but could go along with that if a man just drops in to get a health check when he feels like something is wrong) the elevated psa test results indicates that something is going on inside your body. you can get an elevated psa just from having a prostate infection. it's as simple as that. that is why i suggested a course of antibiotics - to help rule that part out. but if the cancer is hiding in a hard to find place, the DRE may not find it, but the psa test will sure know it's there. right now, since they didn't find anything, the only thing you can do is wait and research about the prostate, till the next psa test. time will show it to go one way or the other, but staying on top of it is the key to winning it. hope this helps. ~ curtis Hi. Before you decide to go for an operation. Why not try to reduce your prostate back to normal and have all functions otherwise return to normal as well? ;-) Is known to address prostate cancer issues as well with possible similar results! Check out http://www.esp-electro.com The inventor suffered from the same condition and using his gizmo caused his prostate to shrink back to normal and in fact heal to the point where it functions properly and all other functions including urination and ejaculation have returned to normal as well. Do yourself a favor and check it out. David ESP Electro USA > My blood test shows PSA 20 and a free PSA of 4, nothing found in the biopsi. > PSA have increased from 17 to 20 in 3 months. What to do? > > All replies are most appreciated. > > Best regards Ake > Hi. > Before you decide to go for an operation. Why not try to reduce your [quoted text clipped - 12 lines] > > David ESP Electro USA About as useful as sticking a lit firecarcker up your butt. It will probably get rid of the cancer as wel as alot of other things too. Damn side effects of some of these treatment are worse than the cure. |
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