Post Edited (iggy_pop69) : 11/19/2006 9:13:10 PM (GMT-7)
Yes, it's the TREND in PSA that's relevant, not necessarily any one individual reading. Fast increases and "PSA doubling time" are of concern as they can indicate a more agressive tumor.
To logically interpret PSA, size of prostate needs to be factord in, as a larger prostate naturally produces more PSA. Epstein's treatment criteria refers to "PSA density" which is simply PSA divided by prostate size.
unfortunantly my urologist used the old magical 4 as the concern number, disreguarding the fact that my psa was going up 1 point per year for 3 years, while allowing the cancer to grow to the point that a nodule was felt and was told that it had already escaped prostate.
I tell everyone I can, to keep track of your numbers and don't rely on uro to tell you your numbers are within nornal limits, know what psa velocitiy is and track your numbers from year to year.
on a side note, I had my 15 mos psa report this past Good Friday and it it still <0.04, a number that no one thought going in would be possible post op, must less 15 mos post op, but with path, still have to get one every 3 mos. God has been blessed me more than I deserve!
It is not only the PSA. It is also the old dreaded DRE that men seem to hate. The PSA can flucuate between labs also. After I was tested with PSA over 4 at 2 different labs, I was tested at MD Anderson at 3.3 even though I had already been diagnosed with PCa via biopsy.
IMHO we must teach our family members and friends that this is not something that just happens to someone else. We must let people know that early detection is what brings a more sucessful result to the battle with PCa. Early detection will normally only happen if guys take the bull by the horns and get regular physicals with PSA and DRE and keep track of the results.
I am a T1C throught DRE. In other words no signs of PCa.
I have had an elevated PSA for over 12 years with 2 previous biopsies both 6 samples and both benign.
The bottom line is that there is still much to be learned about this PCa that we fight.
My thoughts exactly! My sister and I have come to the conclusion he was confused as to what numbers they were giving him. Blood pressure and cholesterol were also elevated, and he was a little upset over the whole thing. He's been in absolutely perfect health his whole life - doesn't take a single pill - so it's rather daunting to him to find out his body is starting to wear out a little!
I'm going to try to talk to my step-mom tonight and see if he actually brought any papers home with him that I can look at or if she can give me a better understanding of exactly what was said. Daddy doesn't hear as well as he used to! ; }
Thanks a bunch for helping out. I just wanted to make sure there wasn't a different method of computing the numbers that I wasn't aware of.
Post Edited (BillyMac) : 3/27/2008 5:02:44 PM (GMT-6)
Post Edited (TC-LasVegas) : 3/27/2008 5:26:38 PM (GMT-6)