rulling question PSA Tests how often if at all

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flippin out
Regular Member

Date Joined Mar 2006
Total Posts : 137
   Posted 3/4/2009 3:56 PM (GMT -6)   
Whats the rule ? Radiation guys know that PSA's can jump around surgery guys know that no prostrate means zero.< readings are expected. Now what about the radiation surgery guys ?
And after changing labs how often should one get tested
50 Diagnosed as type II Diabetic
54 Cancer Detected
55 Da Vinci City Of Hope California
57 Cancer rise in successive PSA's
57 Radiation Loma Linda Medical Center California

Veteran Member

Date Joined Jul 2008
Total Posts : 966
   Posted 3/4/2009 4:28 PM (GMT -6)   
mjr....I think by reading your at age 55 and then SRT (Salvage) at age 57 your question is how often should you be tested now. I would guess at least every year, unless your doctor has another protocol he uses. I would think that after radiation the first couple of tests would be at the six month mark and if all clear move to the yearly. Just a guess though on my part. Others will chime in shortly...
You are beating back cancer, so hold your head up with dignity
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral (Perineural Invasion present at base) - Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (4+3) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA 5 week Oct 2008 <.05
       3 month Jan 2009 .06

Regular Member

Date Joined Jul 2008
Total Posts : 149
   Posted 3/4/2009 4:46 PM (GMT -6)   
mjr, I would think Les is probably correct. I finished my Salvage RT in Jan. and my doc said he would pull a psa in 6 months. I suggested sooner but he said that you could get false readings in the time before that as the RT was still doing its thing. I may sneak one in early How long has it been since your SRT and what was your stats before and after RP and Salvage? This is a nerve racking situation for myself and others I would venture to say. I am just going to enjoy the spring things like baseball, fishing and turkey hunting with my 12 year old son! Good luck to you and everyone else out there.

Age 53
Pre-op PSA 4.3
Surgery Feb. 17 2005
Post-op Path : Gleason 3+3=6
Right pelvic lymph nodes: negative for metastatic carcinoma
Left pelvic lymph nodes: negative for metastatic carcinoma
extent: right lobe 40% left lobe 10%
capsular penetration: Absent
Seminal vesicles and vasa differentia: Uninvolved
Prostate: 26 grams
Post-op PSA's <0.04 for 3 years
Feb. 08: 0.07, March 08: 0.08, June 08: 0.09 and Sept. 08: 0.1
IGRT scheduled.....November 17th....
FINISHED 01/14/09 YEA!

Veteran Member

Date Joined Oct 2006
Total Posts : 1210
   Posted 3/4/2009 6:54 PM (GMT -6)   
Hi mrj,

My Onc checked my PSA 6 weeks after salvage EBRT. He expected it to be down somewhat which would confirm that the target was hit. Mine went down by 50% (from.1 to .05) which seam to please the Onc. From now on I'll get the PSA tested every 6 month. Hope it continuous to go down.
Hope this helps.
All the best to you.

Born Sept 1936
PSA 7.9
-ve DRE
Gleason's Score 3+4=7, 2 of 8 positive
open RP 28 Nov 06, Post op staging T3a
Gleasons still 3+4=7
Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; 3 days before Rad Start=0.1
Salvage RT completed (33 sessions - 66 Grays) on the 19th Dec., 08.
PSA on the 26 Jan., 09, =0.05. PSA tests now every 6 month

Regular Member

Date Joined Sep 2006
Total Posts : 187
   Posted 3/5/2009 3:23 AM (GMT -6)   

I'm on a schedule of PSA testing every six months until 5 years after salvage radiation, then we'll check in annually after that.

I had HT with the salvage radiation, so my PSA dropped right away...don't know what the expectation would be for radiation only.   Good luck!

Age 48 - pre-surgery PSA 39 (at age 45)
Open Radical Prostatectomy 6/9/2006
Pathological Stage T3a, Positive Surgical Margin
Gleason 3+4
PSA rose to .24 in November of 2006
6 month hormone therapy initiated December 1. 2006
36 sessions of IMRT Ended Feb 1, 2007
PSA as of May 25, 2007 undetectable
PSA as of November 29, 2007 undetectable
PSA as of May 14, 2008 undetectable
PSA as of November 25, 2008 undetectable

Elite Member

Date Joined Oct 2008
Total Posts : 25372
   Posted 3/5/2009 7:58 AM (GMT -6)   
I would think, also, that every 6 months for at least 2 to 5 years.
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9

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