Latest PSA test results

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puget
Regular Member


Date Joined Mar 2007
Total Posts : 237
   Posted 3/11/2008 10:29 PM (GMT -7)   
I had my second  PSA test last week (surgery last June).  Result was 0.02, which was a definite disappointment.  However, my family dr and the uro surgeon both told me not to worry at all, that with my post-surgery profile -- 3+3=6, negative at margins -- this was still a great result.  Not scheduled for another test until September.  Guess you have to trust your drs. 
Puget
60 years old
Dx March 2007
Pre-Surgery Gleason 3+3 = 6
Clinical Stage: T1c
Biopsy: 1 in 10 positive
Da Vinci: June 7, 2007 
Post-Surgery Gleason 3+3 = 6
   Clear at margins
First Post-PSA Sept 07 = <.01 (Hooray!!)
Second Post-PSA March 08 = 0.02 (I'm disappointed but Dr says still very good news)


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 3/11/2008 10:42 PM (GMT -7)   
Hey puget,
 
I've never had as low as a 0.02 PSA.  My surgeon's lab won't detect lower than a 0.04 PSA.  Thus, I would not think a 0.02 is anything to worry about.  If that reading is right, it appears to be within a normal margin of error.
 

Am I misinterpreting?

 
All the best,
 
Barry

"Idaho" ~ Barry

 

Da Vinci Surgery July 31, 2007… 54 on surgery day
PSA 4.3  Gleason 3+3=6  T2a  Confined to Prostate

1st PSA  9/11/2007   <0.04 (undetectable)

2nd PSA 12/10/2007  <0.04

My web site: http://pca-info.blogspot.com


creed_three
Veteran Member


Date Joined Jan 2007
Total Posts : 762
   Posted 3/12/2008 1:44 AM (GMT -7)   
Puget,

Take heart my friend. We were the same, but it is an undetectable result. Swim (as in Swimom) explained it brilliantly to me via email and said its OK to share her words. So this below eased my mind somewhat:

"To answer whether CJ’s PSA could bounce around by a number here

and there than back again…SURE, and it probably will. Don’t forget

that surgery often leaves a tiny bit of prostate tissue behind. The organ

isn’t exactly a solid organ on one end which makes it pretty hard to get

every remnant of tissue out. The Cowper’s gland produces a tiny amount

as well. There are other reasons for miniscule amounts of PSA showing

up on such a sensitive test. " (email around last Oct from Swim).

We are now up for another one Puget, and I am kind of expecting a minor bounce. However I do not think you have bounced - it could be the test, the rounding off to 2 decimals, or the gland descibed by Swim above.

Take care, and hope your mind can be eased. This is a good one I reckon, but I did ask the same question exactly when CJ's PSA went from 0.01 - 0.02. At the time, since everyone was so glad about it, I emailed the question rather than posted it, however as Swim will tell you, I was rather freaked at the time... cheers, Lana

cheers, lana
Creed_three (Lana & CJ)
 
Husband CJ aged 50 yrs (49 years at diagnosis and surgery)
PSA (2002) 2.1.  PSA (2006) 3.5.  1 x (5%) core of 12 positive at biopsy. 11 cores negative. Open Radical Prostatectomy with nerve sparing, on Tuesday 17th April 2007 (Sydney, Australia).
Gleeson 3 + 4 = 7.  Cancer confined. 1st PSA 0.01 (June 07) 2nd PSA 0.02 (Oct 07) undetectable. Next PSA March 08.


biker90
Veteran Member


Date Joined Nov 2006
Total Posts : 1463
   Posted 3/12/2008 8:12 AM (GMT -7)   
Hey Puget,

Congrats on another zero. My doc tells me that mine is zero and I don't ask about the exact reading. Got enough stress already just from having to have the test done.

Keep em coming...

Jim
Age 73. Diagnosed 11/03/06. PSA 7.05. Stage T2C Gleason 3+3.
RRP 12/7/06. Nerves and nodes okay.
Catheter out on 12/13/06.  Dry on 12/14/06.
Pathological stage: T2C N0 MX. Gleason 3+4.
PSAs from  1/3/07 - 1/17/08 0.00. 
Next PSA test on 7/17/08
"Patience is essential, attitude is everything."
 


puget
Regular Member


Date Joined Mar 2007
Total Posts : 237
   Posted 3/12/2008 9:43 AM (GMT -7)   
Thanks, all, for the reassurances. Intellectually, I know that things are OK -- I DO trust my doctors, but sometimes at the emotional level, the fear remains . . . Once again, you guys have pumped my up! Bless you!!
Puget
60 years old
Dx March 2007
Pre-Surgery Gleason 3+3 = 6
Clinical Stage: T1c
Biopsy: 1 in 10 positive
Da Vinci: June 7, 2007 
Post-Surgery Gleason 3+3 = 6
   Clear at margins
First Post-PSA Sept 07 = <.01 (Hooray!!)
Second Post-PSA March 08 = 0.02


Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 3/12/2008 10:22 AM (GMT -7)   
Congrats Puget!! I figure you have to celebrate the good news when you get it!  God knows we have had enough bad news :)  Congrats on your UNDETECTABLE PSA :-) Cheers to many, many more!!
Father's Information
DX July 15, 2007
Age 62 (now 63)
PSA 5.5
Original Gleason 3+4=7 
Post Surgery Gleason- 4+3=7
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin
One positive node
Bone Scan/CT Negative (Sept. 10, 2007)
T3a N1 M0
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07
Lupon beg. Dec 03, 2007 2 yr
Radiation soon to follow
 
 

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