Posted 11/8/2019 8:55 PM (GMT -7)
Friend of mine had RALP three years ago. Despite my protests it was very lackadaisical about PSA tests. Not sure but I think he had one test three months after the surgery it was on detectable and that was it. Then last June he had another one. Used a local Uro, not his surgeon, who was the same as mine. His pathology was clean, G7 3+4, negative margins no ECE.
Anyway after his June blood draw he never bothered to check it. I pushed him and finally this week he did check and it was .1. I actually eyeballed the report to make sure there was no less than sign and that was in .01. It was actually .1
I am pretty sure this was a standard test not the ultra sensitive. Am I correct that .1 is the lowest level of detection on the standard? Also I vaguely recall reading something here a while back saying something like Quest is no longer using the < sign. Anybody remember anything about that?
I told him the first thing is to do is retest now and ask for an ultra sensitive.
I am not a doctor, just another guy without a prostate
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathology G6
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08 Start ADT. Sept 2018 Start SRT
Sept 2018 thru November 2018 – T = 4, PSA = <.05
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq