The < fell off, am I over reacting with worry?
Tuesday 6/13/17 I went for my PSA draw and since I had an appointment a week later with my MO, I asked my URO if he could have his lab perform the additional blood tests for my MO visit and he said yes without an additional fee.
Normally I get the PSA results back in a day or less on line, but after 2 days of no PSA results, I called the URO’s office to find out NO PSA WAS DONE?, only the 2 worthless blood test for the MO were done! So Thursday I drove 220 miles RT back to the URO’s office and had the PSA done. On Friday afternoon the results were not on line, so I called my URO’s office and the doctor’s nurse told me my PSA was undetectable and was the same as the last 2 draws at <0.020.
Monday evening I saw my PSA results on line and the < fell off, it went from <0.020 to 0.020. Yesterday I stated calling the URO’s office to clarify this and the nurse and doctor were both out, but the office staff did state the results were 0.020 and that was good. I told the staff member the PSA result was an increase over the last 2 tests and the staff member said I would have to talk to the doctor’s nurse about it and the doctor and nurse would be in today. The staff member said she would have the nurse call me today.
My MO visit got pushed back till July 7.
I have meetings all day today and tomorrow, so likely my return call will go to voice mail and I will be playing phone tag for days.
I drove back to the URO’s office so that the same lab would be usedfor the PSA. Am I over reacting to this PSA test result? Or should I take a pill and forget about it till the next test?
Final Path after October 13, 2015 surgery:
All 17 lymph nodes were negative.
Prostate size: 4.1 x 3.7 x 4.9 cm
Prostate weight: 53 grams
Total GS 9 (4+5=9)
40% of the prostate involved
Seminal vesicles invasion: Identified
Margins: Minute focus of left posterior margin involved by the tumor. In the right and left apex there is focus approaching the edge, but due to the absence of ink in the portion, it cannot be definitively said that it is a true margin
Perineural invasion: Present, extensive
Path staging: pT3Bno
PSA 7/29/2015 6.76, 11/11/15 0.044, 1/19/16 0.041. Radiation completed Mid May 2016, PSA 5/25/16 0.026, 10/18/16 <0.020, 3/2/17 <0.020, 6/15/17 0.020