With a current PSA of 1.12 (which is down from 2.85 3 years ago), I really don't feel like I need to do anything now. Am I being naive? I would be comfortable going back to yearly screenings at this point. I know PSA is not a definitive test for cancer, only prostate activity, but looking at my stats, do you really think I should be concerned? I know there are rare cases of low PSA and aggressive cancer, but with my stats, I think that is such a ridiculously remote possibility, I am not concerned.
I almost think anything, even an MRI and additional biopsies at this time are overkill.
You have asked me, I believe, a number of questions here, including the highlighted "do you really think I should be concerned?" I appreciate you asking for my opinion, and I'm glad to give it freely.
I'd just like to clarify my understanding of one key aspect of your case
on which my comment here is based: I believe, from what I see here, that you have had one and only one prostate biopsy which was more than 3-years ago, and since then your "monitoring" has consistented ONLY of PSA and DRE measurements. Is this correct?
If this understanding is correct, then "yes," I would be concerned. I would not necessarily be concerned about
progressive PC, because from the very weak monitoring that you are doing it doesn't appear likely to be progressing. What I would be concerned about
the poor job of staying on-top-of your monitoring which seems to be taking place.
If my understanding is correct, this is an example of how NOT to be on Active Surveillance because it largely neglects the "active" part. I've already posted here, and therefore don't need to dwell further upon, the importance (cited in the link above) of the follow-up biopsy(s), and the paramount importance, especially, of that 2nd, confirmatory biopsy (typically performed about
12-months after initial diagnosis). I've already said this, so I won't repeat.
I hope, somehow, that my understanding is incorrect...but I have drawn this understanding from reading your current signature profile. I want to be supportive, but if I am correct, then you are not following the AS Fundamentals, and you really probably have no clue as to what's going on in your prostate. As I said, PSA and DRE are weak indicators; biopsy is a strong indicator. Be strong.
Post Edited (JackH) : 4/27/2017 11:40:24 AM (GMT-6)