Commercial PSA tests?

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corynski
Regular Member


Date Joined Apr 2008
Total Posts : 63
   Posted 6/11/2008 6:41 PM (GMT -6)   
Has anyone had experience with the commercial PSA test kits that are sold over the internet?

I'm faced with a few months wait to see a particular doctor and thought I would get another PSA test soon to see if anything explosive is going on. I'm having trouble learning the Medicare payment routines.

Thanks,

charley
_____________________________________________________________________________

Pre-Diagnostic PSA record, begun 1995 at age 58..... now 70:
1995 - 1.2, 1997 - 1.7, 1998 - 1.4, 1999 - 1.7, 2000 - 3.4, 2001 - 2.0,
2002 - 4.6 on 6/6, 4.1 on 7/24, 3.5 on 10/1 at urologist's office
2003 - 2.3, 2004 - 2.7, 2005 - 3.2 on 7/15, 2006 - no test????
2007 - 5.8 on 2/5, 5.7 on 6/16
2008 - 10.4 on 2/29, 8.8 on 4/21 --- Scheduled biopsy for 5/6/2008. On a graph, the PSA rise looks exponential, i.e. a growth function.

*****************************************************************
5/22/2008 -- Results of biopsy
4 of 12 cores show adenocarcinoma:
LLM - Gleason 3+3=6, PTI=10%, LM - Gleason 3+3=6, PTI=2%
LLA - Gleason 3+4=7, PTI=25%, LA - Gleason 3+3=6, PTI=20%
Clinical Stage: T2a
Comments:
RLB - There is focal acute prostatitis
LLM - There is focal perineural invasion
LLA - There is focal perineural invasion
Partin Table:
OC - 33%, CP - 52%, SV+ -10%, LN - 4%
No treatment selected yet.....


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 6/12/2008 11:10 AM (GMT -6)   
Hi Charley,
I'm not certain I would trust this test. But it would be interesting to see if they work. But for me, if want a test right now, I would call my primary care doctor and tell him to do it and I know he would. In fact I know all my doctors would draw it if I requested it.

I know what it's like waiting though. Your biopsy looks very close to mine, except I had more involvement (90% on some cores). I know that you will have to do something sooner or later.

Tony
Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 9 '08): <0.1
I will continue HT until May '09. 
Years in Remission (3/23/07): 1
Visit my Journey at:
And at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator


corynski
Regular Member


Date Joined Apr 2008
Total Posts : 63
   Posted 6/12/2008 6:17 PM (GMT -6)   
Thanks Tony

In Feb I asked my primary doctor for a PSA retest. He balked, but then gove in and did it. Later when I got my Medicare statement it said they only covered a PSA every 6 months. I'm guessing he would do it again and find some way to cover it if I asked. Holy smoke, it's only a $40 test. I'll let you know how it works out through the mail.
_____________________________________________________________________________

Pre-Diagnostic PSA record, begun 1995 at age 58..... now 70:
1995 - 1.2, 1997 - 1.7, 1998 - 1.4, 1999 - 1.7, 2000 - 3.4, 2001 - 2.0,
2002 - 4.6 on 6/6, 4.1 on 7/24, 3.5 on 10/1 at urologist's office
2003 - 2.3, 2004 - 2.7, 2005 - 3.2 on 7/15, 2006 - no test????
2007 - 5.8 on 2/5, 5.7 on 6/16
2008 - 10.4 on 2/29, 8.8 on 4/21 --- Scheduled biopsy for 5/6/2008. On a graph, the PSA rise looks exponential, i.e. a growth function.

*****************************************************************
5/22/2008 -- Results of biopsy
4 of 12 cores show adenocarcinoma:
LLM - Gleason 3+3=6, PTI=10%, LM - Gleason 3+3=6, PTI=2%
LLA - Gleason 3+4=7, PTI=25%, LA - Gleason 3+3=6, PTI=20%
Clinical Stage: T2a
Comments:
RLB - There is focal acute prostatitis
LLM - There is focal perineural invasion
LLA - There is focal perineural invasion
Partin Table:
OC - 33%, CP - 52%, SV+ -10%, LN - 4%
No treatment selected yet.....

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