latest psa test

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brad2513
Regular Member


Date Joined Oct 2009
Total Posts : 22
   Posted 4/25/2010 11:45 AM (GMT -6)   
I recieved the results from my latest psa test yesterday in the mail, and it was <0.05, up from <0.01 three months ago. (bummer) Now I know that is still a good number, but the rise is what has me concerned.
age 46
diognosed age 45
PSA 3.9
preop and postop gleason score 3+4
daVince robotic surgery 9/30/2009
stage T2c
 
perineural invasion focal
extraprostatic extension, seminal vesticle, and lymph nodes negative
apex margin negative
peripheral margins positive
incontinence is no problem (gave up pads for new years)
cialas is working great for the ed
psa 1/15/2009, 0.01


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 4/25/2010 11:51 AM (GMT -6)   
Brad, not to worry as PSA fluctuates daily (and throughout the day). This is one of the downsides to have the ultrasensitive PSA assay - every little bump can make you nervous.

Be assured that a PSA of 0.05 is excellent and should not cause you any concern.

BTW: did you really mean to put a < sign next to your PSA numbers...this would indicate that it's less than 0.05.

Anyway, congratulations on an excellent result.
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!


pasayten
Regular Member


Date Joined Mar 2007
Total Posts : 447
   Posted 4/25/2010 12:55 PM (GMT -6)   
Brad,
 
If the result did have the "<" (less than) sign in front of it,  it means that whatever method they used for the test,  the PSA was BELOW the detectable limit and still a fat "zero" for our PCa zero club.    If your result did indeed have the "<" sign in front of it, maybe this test method was a little less sensitive then your previous tests that were reporting to the <0.01 levels.
 
If the result did not have the "<" in front of it,  you still have a low result.   At these levels,  normal fluctuations do occur.     If you get 3 consecutive rises in a row,   then the results become more significant and your uro will probably want to discuss that.
 
pasayten


After 3-4 years of annual PSA 4-6, biopsy recommended
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx, approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
9/10/2007 Pad free and ED at 75% with 100mg Viagra generic
6/26/2008 2nd Post-OP PSA at 14 months...  0.02 
12/2/2008 3rd Post-OP PSA at 20 months...   0.03
10/30/2009 4th Post-OP PSA at 31 months...   0.13 (moved and diff lab)
11/3/2009 Retest at my original lab...  0.11  (followup with Doc sched 11/10)
11/10/2009 Discussion indicated biochemical reccurrence and need for salvage radiation treatment. 
1/21/2010 Another PSA test at 34 months...  0.14
1/26/2010 IMRT Salvage Radiation Treatment started
                  32 sessions for 64 gys total.
3/12/2010 Finished 32 sessions...  No side effects to date except a little
tiredness.  Slight changes in bowel movements the last week...  
4/8/2010  Pretty much all side effects (were minimal) are gone now and energy has returned.  Now just wait for the upcoming PSA test.
 


Sharp18
Regular Member


Date Joined Mar 2010
Total Posts : 78
   Posted 4/25/2010 1:53 PM (GMT -6)   
Brad,

It is possible that the test was done at the other lab with different equipment sensitivity (your latest PSA level can be from 0 to 0.05).

Sharp

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 4/25/2010 3:47 PM (GMT -6)   
Still a solid "zero" by anyone's standard, enjoy it.
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, next one:  July
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- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 4/25/2010 3:50 PM (GMT -6)   
yep, still a zero, those are really minute swings. The only time to watch closer is if it goes something like .01, .02, .04, .06, .08, etc. I think anything .05 and under on the second generation test is still zero, as in .00.
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN

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