double check your verbal psa

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bemis
Regular Member


Date Joined Feb 2010
Total Posts : 38
   Posted 4/22/2010 7:28 PM (GMT -6)   
I had my first post surgery psa 4-10-10 the nurse called me and said it was 0.1. I,m at day 8 of adjunct RT today and asked my Dr about the psa it wasn't 0.1 it was <0.1 and below the detectable limit of the test. what a difference.  DICK
age 55 /psa 10-09 5.4/biopsy 11-09 Gleson 3+3=6 3+4=7/ Radical prostateectomy 1/22/10/pathology positive margins and extraprostatic extension pt3a,decided to do adjunct radiation therapy,PSA 4-1-10 <0.1,started RT 4-13-10


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 4/22/2010 9:07 PM (GMT -6)   
I am a bit shocked that you are in RT with <0.1. That is the zero club. Did you have PSA test that were climbing before you started the RT?

Good luck with treatment and celebrate that big Zero.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 4/22/2010 9:07 PM (GMT -6)   
I am a bit shocked that you are in RT with <0.1. That is the zero club. Did you have PSA test that were climbing before you started the RT?

Good luck with treatment and celebrate that big Zero.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1 pre cancer core
10/08 Nerve-Sparing open radical
Surgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clear

3 month: PSA <0.1
6 month: PSA <0.1
10 month:PSA <0.1
1 year: PSA <0.1
16 month:PSA <0.1

ED - Started Cialis at 3 months, tried all 3, 6 months added pump, 9 months Tried MUSE (YUCK) Bad experience.
1 year mark Found new Urologist visit was at 14th month post surgery
Started Injections, Caverject! (Success)
17 month: ED making improvements : Oral Meds gets me 85%


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/22/2010 9:12 PM (GMT -6)   
bemis,

if you had a true .10 PSA, while that is a low amount, it is still considered detectable.

if you PSA <.1, that is considered undetectable, and can range from a therotetical .00 (which is unlikely) to .09.

Here at HW, anything below .10 is considered a Zero.

Jeff: with his positive margins, and being stage 3, looks like his dr. is doing radiation as a pre-emptive thing, instead of waiting for recurrance to happen. that would be my guess
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14 out - 27 days, Cath #15 - 3/29


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/23/2010 6:31 AM (GMT -6)   
I too am surprised that radiation is being done at this stage as many doctors generally will wait until PSA becomes detectable. However, it's possible as Purgatory said, that the doctor decided to do adjuvant radiation but I am concerned that with such a low (undetectable) PSA that a doctor would opt to do this at this stage.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (solitary focus of extraprostatic extension). Perineural tumor infiltration present. Apex margin, bladder neck and SVs negative. Final Gleason 3+4. PSA: 0.0 til July 2009. August 2009 - 0.1, September 0.3, October back to 0.0, December 0.0, March 2010 0.0. Next PSA in 6 months. Thank you God!


bemis
Regular Member


Date Joined Feb 2010
Total Posts : 38
   Posted 4/23/2010 9:28 AM (GMT -6)   
Cajon Jeff Its like Purgatory said.My pathology bumped my chance of reaccurance up and from my reasearch, and Dr Allen Partins advice I decided to proceed with the RT now as opposed to waiting for the psa to rise.I know there are different opinions but I just felt like beiing as agressive as possible and getting treatment behind me.By the way I felt rough last week but now I feel almost normal for the first time since surgery 1-23-10.Well I've got to go 2 min till I need to head home to head to the hospital. Thanks DICK
age 55 /psa 10-09 5.4/biopsy 11-09 Gleson 3+3=6 3+4=7/ Radical prostateectomy 1/22/10/pathology positive margins and extraprostatic extension pt3a,decided to do adjunct radiation therapy,PSA 4-1-10 <0.1,started RT 4-13-10

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