PSA testing questions

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three 5's and a jack
Regular Member


Date Joined Jul 2017
Total Posts : 129
   Posted 10/4/2017 4:38 PM (GMT -6)   
Reason for asking is: For various reasons I am changing my PCP and thus the lab that has been doing my PSA tests.

I will be having SBRT in 2 months and feel like I need to get a baseline from the lab I will be using for Post SBRT PSA tests.

So I am seeing a new PCP next week. When I see him what should I be asking for as far as PSA tests go? Ultra sensitive or standard or other? Any enlightenment surrounding the PSA testing issues would be appreciated.

Thanks.

Roger
Looking for the 4th 5
69yo weight 7/1-283# on 9/1-227# projected 190# by treatment time
PSA 6.01 6/17
BX 8/04/17 DX 8/11/17 5/16 cores
L mid/base 4/6 4+3=7 25%
L apex 1/2 3+4=7 30%
Sec opinion from UofW same GS7 but they called the overall a 3+4=7
Decided on SBRT at Swedish in Seattle with Dr. Meier.
Looks like the first week or two of Dec.

Tall Allen
Veteran Member


Date Joined Jul 2012
Total Posts : 8608
   Posted 10/4/2017 4:52 PM (GMT -6)   
With radiation, all you need is a conventional PSA test. The extra decimal points are useless. I don't think the test kit matters much, as long as you stick with the same one at the same lab. Good idea to get baseline testosterone too.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
SBRT 9 yr onc. resultsSBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEs
my PC blog

InTheShop
Veteran Member


Date Joined Jan 2012
Total Posts : 7758
   Posted 10/4/2017 6:45 PM (GMT -6)   
like TA says, standard. That generates the required amount of anxiety without getting excessive.

Andrew
I'll be in the shop.
Age 57, 52 at DX
PSA:
4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13,
.7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012
My latest blog post

three 5's and a jack
Regular Member


Date Joined Jul 2017
Total Posts : 129
   Posted 10/5/2017 7:23 PM (GMT -6)   
TA or anyone.
Help me out with some info. Why do you suggest getting a testosterone baseline. I am under the impression that would only have to do with HT? If I am positive I would NEVER do HT in any form should I still get the "T" baseline?
Thx
Looking for the 4th 5
69yo weight 7/1-283# on 9/1-227# projected 190# by treatment time
PSA 6.01 6/17
BX 8/04/17 DX 8/11/17 5/16 cores
L mid/base 4/6 4+3=7 25%
L apex 1/2 3+4=7 30%
Sec opinion from UofW same GS7 but they called the overall a 3+4=7
Decided on SBRT at Swedish in Seattle with Dr. Meier.
Looks like the first week or two of Dec.

Tall Allen
Veteran Member


Date Joined Jul 2012
Total Posts : 8608
   Posted 10/5/2017 8:18 PM (GMT -6)   
T level often declines after radiation and then usually recovers. You want to get a baseline reading of what is normal for you and then track it to assure it recovers after RT. You may decide to have TRT if it does not get high enough.

www.jsm.jsexmed.org/article/S1743-6095(17)31140-2/fulltext
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
SBRT 9 yr onc. resultsSBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEs
my PC blog

three 5's and a jack
Regular Member


Date Joined Jul 2017
Total Posts : 129
   Posted 10/5/2017 8:33 PM (GMT -6)   
thx
Looking for the 4th 5
69yo weight 7/1-283# on 9/1-227# projected 190# by treatment time
PSA 6.01 6/17
BX 8/04/17 DX 8/11/17 5/16 cores
L mid/base 4/6 4+3=7 25%
L apex 1/2 3+4=7 30%
Sec opinion from UofW same GS7 but they called the overall a 3+4=7
Decided on SBRT at Swedish in Seattle with Dr. Meier.
Looks like the first week or two of Dec.

InTheShop
Veteran Member


Date Joined Jan 2012
Total Posts : 7758
   Posted 10/6/2017 11:30 AM (GMT -6)   
I am sure that RT lowered my T number, but I didn't have a test before so I don't really have a baseline to compare to.

That's why you want one now - just in case.

Andrew
I'll be in the shop.
Age 57, 52 at DX
PSA:
4.2 10/11, 1.9 6/12, 1.2 12/12, 1.0 5/13, .6 11/13,
.7 5/14, .5 10/14, .5 4/15, .3 10/15, .3 4/16, .4 10/16, .4 5/17
G 3+4
Stage T1C
2 out of 14 cores positive
Treatment IGRT - 2/2012
My latest blog post
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