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Regular Member

Date Joined Dec 2008
Total Posts : 25
   Posted 4/3/2009 9:45 PM (GMT -6)   
My husband's PSA has been reading <0.1 after his 40 radiation and being on triple hormonal blockage. I see others reporting PSA's as low as 0.01 so I'm wondering if we should be getting another lab for his PSA tests. Should the lab be reporting results lower than 0.1?

Post Edited (Palyn) : 4/3/2009 8:48:07 PM (GMT-6)

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 4/4/2009 3:01 AM (GMT -6)   
I wouldn't, For me all it is is extra heartache.

Some institutions call <0.2 undetectable, but I have learned less than 0.1 is good. Some assays are more detailed but that doesn't mean action is required. So to see blips on the radar is not necessary for my preference since I probably would not change anything until after 0.4.

Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
My Journal is at Tony's Blog  

Veteran Member

Date Joined Apr 2008
Total Posts : 1382
   Posted 4/4/2009 7:04 AM (GMT -6)   
Excellent response Tony and I totally agree. It is so easy to allow your mind to get confused over all the test results and from reading others test in similar situations. Your oncologists or Uro will give sage advice when the number moves to an uncomfortable level and I pray that it never happens. Hang in there and enjoy life.

peace and love
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
PSA Dec 16th, 2008 is .06
Testosterone keeps rising, the current number is 156, up from 57 in May
cancer in 4 of 6 cores

Regular Member

Date Joined Jan 2009
Total Posts : 27
   Posted 4/4/2009 7:37 AM (GMT -6)   
I found these graphs years ago after my RP in 1995. Note ultrasensitive and normal psa graph lines. I have never had the ultrasensitive test. My original psa was less than 0.1 and has risen over the years along the yellow line and is now 0.6. The trend (many tests over time) has been the best indicator for me.  I try not to think or agonize about PSA between tests. (Had 30) That is giving into the PC beast! Hope this helps and that his tests will STAY below 0.1. Best trend of all! tongue Best wishes, Al

Elite Member

Date Joined Oct 2008
Total Posts : 25380
   Posted 4/4/2009 7:54 AM (GMT -6)   
As far as I am concerned, you husband still is a solid Zero on his PSA, and has nothing to worry about.

If it were up to me, I don't think anything should be reported lower than <.1, anything else causes needless worry and fear, something us PC people already have enough of.

Even my first one spooked me. It was .05. I was disapointed that it wasn't a .01, or as some show, .001. My doctor said it was real good, and it is good. So now, when I do my next one in May, it is .06, I will be paranoid that I am doomed for reaccurance.

David in SC
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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