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
 
 
 
 
 
 
 
 
 
 
 
 
 


Tim G
Veteran Member


Date Joined Jul 2006
Total Posts : 2361
   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



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. yeah
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)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   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


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! tongue
 
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


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
 
 


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.


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)


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1132
   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

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