just had a psa done today and the psa numbers were as follows 1/20/10 0.00 5/25/10 <0.05 11/22/10 0.10 any feed back on this would be greatly appriciated thank you ,,,dirt
You had surgery and are being treated by a urologist, and so the American Urological Association (AUA) is the governing body which publishes the PSA-related medical standards of interest to you. The AUA has an easily-readible, free online document which would be of direct interest to your thread title "psa up after 2.5 years what is considered a recurrence." The document is titled: "Prostate Specific Antigen BEST PRACTICE STATEMENT: 2009 Update", and I will give you the hyperlink below.
The first part of the document deals with pre-treatment PSA information, and the second part deals with post-treatment (after surgery, in your case). Starting on page 37 is the section titled, "The Use of PSA in the Post-treatment Management of Prostate Cancer"...this is, of course, the section for you.
You undoubtedly realize that after treatment, the PSA test is the overall best-available means of detecting prostate cancer recurrence...the specific term is Bio-Chemical Recurrence, or BCR. Different definitions of BCR exist after surgery and radiation, but the AUA defines post-surgery BCR in this way:
The AUA defines biochemical recurrence as an initial PSA value ≥0.2 ng/mL followed by a subsequent confirmatory PSA value ≥0.2 ng/mL. (page 38)
The document goes on to very clearly state that "This cut-point [≥0.2 ng/mL] was selected as a means of reporting outcomes [of BCR], however, rather than as a threshold for initiation of treatment." In other words, the threshold for "official" BCR and the threshold for action are not necessarily the same, depending on each case's specific details. If your post-surgery PSA starts rising (it appears that it might be headed in that direction for you), then your doctor might start you thinking about/planning for SRT (Salvage Radiation Therapy) even before you reach BCR.
I hope that this information adds value...
Here's the link to the AUA document, and I recommend reading the entire second half about post-treatment management of PSA; you will learn more about BCR, plus other important information: