psa testing labs

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logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 11/3/2009 6:48 PM (GMT -6)   
Is a Lab, a lab,a lab or are they like pathologists, surgeons, etc, where some are better than others. I was treated in seattle, but will be getting followup { 1st post-op psa test } at our home on the island of Maui. I know, I know, but it ain't all that!! But I digress. They have one lab for the one hospital they have, which is quite nice actually. Should I be concerned as to accuracy or travel to Oahu, where they have major medical centers lidat ( like that ).
A technical question on forum protocal, Can I delete a post I made if I want and how. these posts are quite addicting and I mean that in a nice way, Jack
First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
11% of prostate affected. gleason 3+4, I suppose thats a negative


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 11/3/2009 7:10 PM (GMT -6)   
If you can, find out the equipment they use. Some older smaller labs may still be using Generation 1 equipment, others Generation 2 and yet others Generation 3. All have increasing levels of accuracy. I would also request that the test specifies a clinical note such as "progress post prostatectomy" so there is no doubt as to the accuracy required when the sample is tested. You can delete your post by clicking on the cross symbol in the top right of your post.
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
PSA August 09 (2 year mark), <0.01


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 11/3/2009 7:58 PM (GMT -6)   
You can delete any post you made, except the first, without killing the thread. If you are the initial poster and delete your post, all posts in that thread will be deleted. If it's a first post, just go in edit and clear out the body, but leave the post. That was we don't lose any info others may have shared on the particular subject.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
24 mts: PSA's: .04 each test since surgery, Bimix .3ml PRN or Trimix .15ml PRN


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 11/3/2009 9:45 PM (GMT -6)   
Thank you gentlemen both!!
First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
11% of prostate affected. gleason 3+4, I suppose thats a negative


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 11/3/2009 9:55 PM (GMT -6)   
Found the web site, clinical labs hawaii, appear to be top notch, BillyMac thanks for the tip on the " note " on the paperwork. Also will check on generation level.,Jack
First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
11% of prostate affected. gleason 3+4, I suppose thats a negative


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/3/2009 10:08 PM (GMT -6)   
First, let us wish you zeros for life.

Modern lab equipment is pretty much automated and so for a common test like PSA, they will be pretty consistent with themselves. This is not like pathology where the skill of the doctor can be a large factor. There may be some differences between labs, so don't jump to conclusions on the first test -- a doctor familiar with the lab will be a help with this because they see lots of results. Head for the big island only if it seems like you are in trouble.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 11/3/2009 10:13 PM (GMT -6)   
Hi Jack, nice to meet a Maui man. I live in the middle of Canada and come January, February and March your island is one of the places I most like to be.

Looks like you and I have roughly the same pathology from surgery. I've just had my second undetectable PSA -- may you follow in my footsteps.

I have a friend who lives in Maui and has been treated there for cancer with great success. I've done some driving to the hospital and I was impressed with the facility, but who knows about the equipment. However, I was told, and believe, that Maui and all of Hawaii attract doctors like flies to honey and as clinics, hospitals, etc. have their pick of the litter, so to speak, some of the brightest, most able doctors in America are in the islands. I doubt they'd settle for anything less than the best.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9, so far, so good
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
First post op PSA Sept 09  less than 0.02
PSA on Oct 23 test again less than 0.02
Oct 1st 09 -- dry at night, during day some stress issues, but better every week. 
Feel free to email me at:  sheldonprostate@yahoo.com    


logoslidat
Veteran Member


Date Joined Sep 2009
Total Posts : 6048
   Posted 11/5/2009 10:07 AM (GMT -6)   
Hey I thought I was the only sleepless geezer, lol. Thanks for the replys. I feel much better and y'all are right about about attracting the health professionals, I just never made the connection about having the best equipment. Going back in a week, got to get back to the Kalama cove finish up my surfing and paddle board lessons. I;m the tall haole continually falling off the longboard. Your stats and undetects are great. lets all live positive and fruitfull lives. Hey, what else we got to do!!! Aloha Jack
First psa 4/17/09 psa 8.3, 7/27/09 psa 8.1
8/12/09 biopsy 6 out of 12 pos 2-70%, rest <5% 3+3
10/19/09 open rrp U of W Medical Center, left bundle spared
10/30/09 catheter out. continent from the jump.
pathology- prostate confined, only thing positive was the report.everything else negative
11% of prostate affected. gleason 3+4, I suppose thats a negative

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