Posted 6/13/2013 9:28 AM (GMT -7)
suggest that you have a course of antibiotic such as cipro for a month to make sure that there is no urinary infection.
Also suggest that you ask for a PCA3
I would do these tests, first
This test is a new investigational ( only an indicator) urine gene test that is available. The test is a molecular biologic assay. This test has a specificity of 75% and a sensitivity of 57%. (What that means is that among 100 bad tumors, for example, they only can identify 75 of them. And among 100 good tumors, they identify them as bad in 57). The test is done by a doctor who does a DRE and vigorously massages(the fun part...my doc is very experienced, has muscles on his finger, and can make a grown man cry) the prostate; the patient gives urine and the results are sent to Bostwick Laboratories(the only laboratory that does this) for analysis. It is a pretty expensive test, at I think about $500.
So the way the results work, 35 is the magic number, so the less one score is below 35 the better. Mine was 8.3 "Prostatic cells are present but do not over express the PCA3 gene", "value of 35 or greater suggests a high likelihood of prostate cancer"
It is also stated that only a prostate biopsy can diagnose prostate cancer. The test's preformance has been established by Bostwick Laboratories. It should not be used as the sole evidence for or against the diagnosis of prstate cancer. Clinicco-patholological correlation is indicated.
Diagnosed 3/09 for 66 birthday
By chance doc found a lipoma in the cavity , not on the prostate(which turned out to be non cancerous)
PSA's had been at 2.26/2.27 for a few years
Biopsy 3/09 Gleason 3+3=6 2 of 12 cores positive- 5 percent involvement in each
second opinion john hopkins
4/09 MRI(tesla 1.5) with spectroscopy, no nodule involvement, staged t1
Aureon molecular test on biopsy, 97 percent chance will not progressin next 8 years
PSA Jan 2.2, JUly 2.5 free 16, November 2.6, February 2010 2.0
Entered in a research study for active surveillance .
PSA , 5/24/10....2.6 free 19
June 2010 ...MRI(tesla 3.0)
June 2010.....Three dimensional targeted biopsy ( based on MRI and ultrasound ability from this biopsy)......15 cores of which 3 are targeted....no cancer found.
second opinion confirm no cancer
January, 2011 PSA 2.5 free 25
March, 2011 PCA3 result 8.3
June, 2011, MRI(Tesla 3.0)
June, 2011 .....Three dimensional targeted biopsy ( based on MRI and ultrasound ability from this biopsy)......17 cores of which 6 are targeted....no cancer found
psa june 10, 2011 3.6 free 18
psa Dec 16, 2011 4.2 free 14
psa mar12, 2012 3.9 free 17
psa june 12,2012 4.1 free 15 d3 26 normal 30-100
psa 10/5/2012 4.3 free psa 16