POST DAVINCI PSA

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R&PK New Member Date Joined Jan 2008 Total Posts : 17	Posted 6/20/2008 3:20 PM (GMT -6)
	WE JUST GOT OUR 8 WEEK PSA RESULT AFTER SURGERY. THANKFULLY, ALL IS WELL. JUST CURIOUS WHY IS THERE A PSA OF ANY SLIGHTNESS OF NUMBER IF THERE IS NO LONGER A PROSTATE AND THE DOCTOR SAYS ALL THE CANCER WAS REMOVED WOULD IT NOT BE .00000? WISHING EVERYONE GOOD HEALTH. PAT AND ROGER Age 55 PSA 2005 - 2.5 PSA 2007 - 4.9 Biopsy - Dec. 2007. 1 of 12 cores - 15% cancer Gleason 3+3 DaVinci - 4/24/08 - Dr. Michael Esposito - Hackensack Univ. Hosp., NJ Post Op. Gleason 3+4 Both nerves spared Back to Top

Tim G Veteran Member Date Joined Jul 2006 Total Posts : 2313	Posted 6/20/2008 3:38 PM (GMT -6)
	Congrats on the excellent post-prostatectomy PSA! Urologists consider any PSA below 0.1 ng/mL to be undetectable. The standard test measures PSA to the nearest 0.1 value and the ultra-sensitive test to the nearest 0.01. There may be some PSA from residual prostate tissue and other sources hanging around, but if it's less than 0.1, it is considered to be zero. Take care and be well...Tim Back to Top

BillyMac Veteran Member Date Joined Feb 2008 Total Posts : 1858	Posted 6/20/2008 6:00 PM (GMT -6)
	R&PK, It is my understanding that the PSA detecting techniques have evolved over time. There are generation 1, generation 2 and generation 3 machines to detect PSA. Each became more sensitive as they developed. I believe Gen 1 detects to 1 decimal place, Gen 2 detects to 2 decimal places and Gen 3 detects to 3 decimal places. It is also my understanding that the sample is run through the machine 3 times and the reading averaged as at very low readings there are inconsistencies. As Tim says, doctors consider anything below 0.1 as undetectable and quite often, irrespective of which machine delivers which result that is how it is reported (<0.1.......undetectable). My tests always were reported to 1 decimal place till I had my GP request the ultra sensitive result. So well done and congratulations on the surgery results. Bill 1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs Aged 59 when diagnosed Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer! Core 1 <5%, core 2----50%, core 3----60%, core 4----50% Biopsy Pathologist's comment: Gleason 4+3=7 (80% grade 4) Stage T2c Neither extracapsular nor perineural invasion is identified CT scan and Bone scan show no evidence of metastases Da Vinci RP Aug 10th 2007 Post-op pathology: Positive for perineural invasion and 1 small focal extension Negative at surgical margins, negative node and negative vesicle involvement Some 4+4=8 identified ........upgraded to Gleason 8 PSA Oct 07 <0.1 undetectable PSA Jan 08 <0.1 undetectable PSA April 08 <0.1 undetectable Post Edited (BillyMac) : 6/20/2008 5:40:02 PM (GMT-6) Back to Top

James C. Veteran Member Date Joined Aug 2007 Total Posts : 4462	Posted 6/20/2008 6:31 PM (GMT -6)
	Great news on that undetectable.....Hoping for lots more in your future. James C. Co-Moderator- Prostate Cancer Forum Age 61 4/19/07 PSA 7.6, referred to Urologist, recheck 6.7 7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c 7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 9/24/07 (open) Retropubic Radical Prostatectomy performed 9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear 10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent 1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success 5/7/08 ED- Viagra, pump, no response- Trimix .075ml continues Post Surgery PSA's: 3 mts-0, 6 mts.-0 Back to Top

IdahoSurvivor Veteran Member Date Joined Aug 2007 Total Posts : 1015	Posted 6/20/2008 9:47 PM (GMT -6)
	Great news, Pat and Roger! Keep those zero's coming! On the test... As others have indicated, the accuracy of the test at those low levels won't permit a definitive 0.0 reading. When I had my second test and was given results of <.04, my doctor said that a woman could get the same reading! Kind regards, Barry ~ (a.k.a. "Idaho") - Prostate Cancer Forum Moderator Da Vinci Surgery July 31, 2007… 54 on surgery day PSA 4.3 Gleason 3+3=6 T2a Confined to Prostate 1st PSA 09/11/2007 <0.04 (undetectable) 2nd PSA 12/10/2007 <0.04 3rd PSA 03/17/2008 <0.04 My web site: http://pca-info.blogspot.com Back to Top

BamaCoast Regular Member Date Joined Apr 2008 Total Posts : 39	Posted 6/20/2008 11:16 PM (GMT -6)
	Congratulations on your PSA. Today is full of good news.... BamaCoast - Kenny & Renae from the Gulf Coast of Alabama Age 51 Di Vinci Robotic Surgery March 5th, 2008 by Dr. Scott Tully PSA 3.5 Gleason 3+4= 7 Confined to Prostate 1st PSA 6-20-08 .0 negative Dry approximately 6-15-08 Back to Top

JCL Regular Member Date Joined Jul 2007 Total Posts : 242	Posted 6/21/2008 5:32 AM (GMT -6)
	Congratulations! There sure has been a lot of good news with these undetectable PSAs around here lately. Keep em comin guys! Biopsy: Diagnosed March 25, 2007. PSA 3.0. Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen. Surgery: May 21, 2007, Florida Hospital, Orlando,FL Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c Continence/Erections Out of pads at five weeks. Fully continent and can achieve erections. Post Surgery PSA: Five tests, all <0.1 Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure. Back to Top

KrisP Regular Member Date Joined Mar 2008 Total Posts : 162	Posted 6/21/2008 7:33 AM (GMT -6)
	R&PK Great news. Hope you get Zero's in all your future tests. Kris Age: 54 Occupation: Mechanical Engineer Home: Dallas/Fort Worth Area Biopsy done 3/5/2008; Pre surgery: Gleason 6 (3+3), involving left lobe Clinical stage t2b. DaVinci Surgery on 4/21/2008 in Austin by Dr Randy Fagin. Pathologist report upgraded to a Gleason 7 (3+4) Clinical stage upgraded also to a T3a; Margins Clear First post surgery PSA = < 0.04 (Undetectable) Back to Top

rob2 Veteran Member Date Joined Apr 2008 Total Posts : 1131	Posted 6/21/2008 7:47 AM (GMT -6)
	you have great news. i had my 6 week psa test and nurse came in and said it was .04. the doctor came in and said it was undetectable and went on to say this was great news. Age 48 occupation accountant PSA increased from 2.6 to 3.5 in one year biopsy march 2008 - cancer present gleason 7 decision - surgery (robotic) surgery may 9, 2008 - houston, tx pathology report -gleason 8 margins clear waiting on first psa post surgery continence ok during day - 1 pad night time different story kegel's twice a day 20 reps Back to Top

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