9 month psa test

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jerseycity
Regular Member


Date Joined Nov 2008
Total Posts : 123
   Posted 7/9/2009 3:27 PM (GMT -7)   
test showed 0.04 which is lowest it can identify. My 3 and 6 month results were <0.04. If 0.04 is the lowest reading how can it identify less than 0.04 which the < symbol indicates. Are the readings the same or was todays result a slight increase. I have a call into doctor for a clarification. Any thought out there?
 3-17- 8 went to Bruce Springsteen concert , great time
3-18-8 routine exam
3-19 doctor called said psa was elevated
what's a psa?
referred to Uro, had several more blood tests.
PSA steady at 4.75
biopsy  June 08 , 12 cores, 4 on left confirmed , right clear
gleason 3 + 3 T1c
research time.
decieded on open RP, Head of Uro  is my Doctor
Surgery done 10-1-8 by Dr See at Frodoret Hospital in Milwaukee
Cathater out 10-13 no problems
Post op,  organ confined, gleason up to 4 + 3, all clear margins
T2c 20% volume, very good outcome I feel
Incontinent and ED.  Time will tell, was told all nerves  saved.
back to work 11-5-8.
 
Rich man in a poor mans shirt.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25353
   Posted 7/9/2009 3:33 PM (GMT -7)   
jersey, that is wonderful news to hear, hope you celebrate greatly for all of us, may you have many more good ones to come.

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, 5/9 .10, 6/9 .11, July 13 - meet with radiation oncologist
 
 


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 7/9/2009 3:55 PM (GMT -7)   
Hi jersey,

Unless your doc says differently, I'd take the 0.04 reading as a zero (undetectable).

My doctor said that with some inaccuracies in PSA testing that a woman could get back a 0.04 reading.

So rest easy as Purgatory said!

Barry
Da Vinci LRP July 31, 2007… 54 on surgery day
PSA 4.3 Gleason 3+3=6 T2a Confined to Prostate
6th PSA 06/09 still less than 0.1


rob2
Veteran Member


Date Joined Apr 2008
Total Posts : 1131
   Posted 7/9/2009 7:03 PM (GMT -7)   
Sounds like you got the big 0 but I know you won't be happy until you hear from the doctor's office.
 
Age 49
occupation accountant
PSA increased from 2.6 to 3.5 in one year
biopsy march 2008 - cancer present gleason 7
Robotic Surgery May 9, 2008 - houston, tx
Pathology report -gleason 8, clear margins
12 month  PSA <.04 (low as the machine will go)
continent at 10 weeks (no pads!)
ED is still an issue but getting better


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 7/9/2009 7:32 PM (GMT -7)   
Jersey,
At first glance it would appear that the assay machine your lab is using can detect PSA down to a level of .04ng/mL. If you had a level of say .03, or .02 or .01 or lower the assay cannot detect it and it should be reported as <.04 (which is nothing detectable given the limits of the equipment). I would not worry if the reading says .04 as this is probably the way that particular tech writes it up when it is at the limit of detection.
By the way, congratulations 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 <0.001 undetectable (disregarded due to lab "misreporting")
PSA August 08 <0.001 undetectable (disregarded due to lab "misreporting")
Post-op pathology rechecked by new lab:
Gleason downgraded to 4+3=7
Focal extension comprised of grade 3 cells
PSA September 08 <0.01 (new lab)
PSA February 09 <0.01


CPA
Veteran Member


Date Joined Feb 2008
Total Posts : 655
   Posted 7/10/2009 6:38 AM (GMT -7)   
Greetings, Jersey.  My doc always tells me I got a zero, but the paperwork always says less than .1.  My guess is that on the ultrasensitive test the lowest reading is .04 and if it doesn't reach that level it simply is referred to as less than .04.  Don't know but that would be my best guess.  At any rate, it's a zero so congratulations and just keep them rolling in.  David

Diagnosed Dec 2007 during annual routine physical at age 55
PSA doubled from previous year from 1.5 to 3.2
12 biopsies - 2 pos; 2 marginal
Gleason 3+3; upgraded to 4+3 post surgery
RRP 4 Feb 08; both nerves spared
Good pathology - no margins - all encapsulated
Catheter out Feb 13 - pad free Feb 16
PSA every 90 days - ZERO's everytime!
Great wife and family who take very good care of me


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 7/10/2009 6:46 AM (GMT -7)   
Typically...readings at or below the assays lowest limits are usually interchangable. In otherwords if the reading is at the lowest limit...then it can be shown as .04 or <.04 either way. Sounds like it is the same reading as the previous readings to me.

For now...just know that it is way below the 0.1 mark and that means <0.1 which is what you want to see.

Congrats on another zero for you.
You are beating back cancer, so hold your head up with dignity
 
Les
 
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved Bilateral w/PNI - Gleason (3+3)6 Stage T1C
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (3+4) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
PSA 5 week Oct 2008 <.05
                   3 month Jan 2009 .06
                   6 month April 2009 .06


CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 7/11/2009 8:26 AM (GMT -7)   
Assay measurements at or near the detection threshold are still not very reliable due to variance, i.e. the fluctuation in the reported value between successive tests in a controlled environment. So, even if the assay can "detect" a 0.04, it may not be able to consistently produce the same result at such a low number. As the measured value moves away from the threshold, assay variance improves. Add to that the probable uncontrolled environment of your lab and natural background noise levels of PSA that the body can produce, and measuring PSA down to the hundredths digit becomes very muddy.
 
CaPCa
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml
03/17/08  Erection quality mostly back to pre-surgery levels with Cialis;
              have not tried without meds yet.
04/23/08  Second post-surgery PSA result: < 0.008 ng/ml
07/30/08  Third PSA: 0.01 ng/ml
11/04/08  One year PSA: 0.01
              Still taking 10mg Cialis every other day - enjoying the results
              too much to stop yet.
02/07/09  Taking 5mg Cialis every other day - having too much fun to try
              to stop for now.
03/23/09  PSA: 0.02
 

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