Yes, I know all the rules with PCa...There are none.
My dad's PSA two years ago was 2.6...last year 3.8...this year 4.2...
My dad and I had a "frank talk" today and he believes that he likely does have PCa but no biopsy has been taken to prove it. He wanted my advice...I told him to get retested tomorrow when he was at the doctors office. He should add a PAP, Free PSA, and another PSA. I told him that he has a family member with moderately aggressive prostate cancer and since he is in great health he should know what "active" or "watchful" means in active surveilence or watchful waiting. He was "assigned" with the duty to march his butt (oh yea, was that nice) into a urologists office and start the process of diagnosis.
But I also told him he is a great candidate to take this slowly. If he needed intervention that it could mean a number of ways. My dad is 74 and in great health. He golfs every day and has longevity on his side of the family so he can believe that 90 is very possible. Thus he might need some sort of intervention if a biopsy comes back positive.
My dad is not worried about it if he has it. He knows a lot from my case, and he is ok with it and not in any fear. So waiting is something he can do comfortably. I am the worry wart and I want him to be cautious. He knows about over treatment and, because of my diligence, about opportunity.
I know all the stories here. Is it possible that his PSA of 4.2 is not prostate cancer? is it possible that the three consecutive rises in PSA is not cancer? Is it possible that just because he has an immediate family member with prostate cancer that these are cooincidences? Of course, Yes too all of these questions. But we are prepared to deal with it...
Age 47 (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 (May 11, 2009): <0.1
My Journal is at Tony's Blog
My InfoLink page is at Tony's Prostate Cancer InfoLink Page