A News Article on PSA Testing

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geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 9/28/2010 1:37 PM (GMT -6)   
This morning's New York Times had a good report on PSA screening

"The researchers followed 1,167 Swedish men from the time they were 60 years old until they died or reached 85. During that time, there were 43 cases of advanced prostate cancer and 35 deaths in the group. The researchers found that having had a P.S.A. score of 2.0 or higher at the age of 60 was highly predictive of developing advanced prostate cancer, or dying of the disease, within the next 25 years."

well.blogs.nytimes.com/2010/09/27/simplifying-the-decision-for-a-prostate-screening/?ref=health
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
9 mo. PSA 0.00 -- 1 light pad/day ED remains
12 mo. PSA 0.00 -- still one light pad and ED
16 mo PSA 0.00 -- light pad just for security, ED still an issue

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3742
   Posted 9/28/2010 3:32 PM (GMT -6)   
A simple PSA test...I don't understand all the angst about getting one every year or two, especially in that critical 50-70 age group.

The only way you can separate the Gleason 6 men from the Gleason 8 & up men is to first detect the cancer and then diagnose it and see if it needs treatment or not...

Using phrases like "most men" is fine unless you are not included in "most men"....
Age 68.
PSA at age 55: 3.5, DRE negative. Advice, "Keep an eye on it".
PSA at age 58: 4.5
PSA at age 61: 5.2
PSA at age 64: 7.5, DRE "Abnormal"
PSA at age 65: 8.5, DRE " normal", biopsy, 12 core, negative...
PSA age 66 9.0 DRE "normal", 2ed biopsy, negative, BPH, Proscar
PSA at age 67 4.5 DRE "normal"
PSA at age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP performed Sept 3 2010

Red Nighthawk
Regular Member


Date Joined Oct 2009
Total Posts : 289
   Posted 9/28/2010 3:57 PM (GMT -6)   
I agree with Fairwind. Men should get their PSA checked. Case closed!

What to do with the information is up to the patient and his doctors.
Age: 63
Gleason grade: 3+4=7, present in both lobes, pT2c NX MX
Robotic RP: Sept. 15th, 2009
PSA's: .04, .03, .02, .05, .02
ED: Improvement slow but there are positive signs. No incontinent issues.
Surgery: Dr. Jim Hu. Dana-Farber/Brigham and Women's, Boston

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3742
   Posted 9/28/2010 4:26 PM (GMT -6)   
Here is the latest press release from the company who developed the new Four Gene urine test..One man on another forum claims he had this test done before his biopsy to confirm the need for a biopsy, which in his case was positive for PC..

http://www.marke***ch.com/story/health-discovery-corporation-2010-shareholder-letter-2010-08-26

The blocked word is market watch run together as one word..

Post Edited (Fairwind) : 9/28/2010 4:33:40 PM (GMT-6)

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