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Ed NJ
New Member


Date Joined Jun 2006
Total Posts : 17
   Posted 10/10/2006 3:46 PM (GMT -7)   
I have a question, once the prostate gland is removed, why do we return for PSA readings? PSA= prostate specific antigen. Fortunately, after my prostate was removed, the PSA was <0.1.

spinbiscuit
Veteran Member


Date Joined Apr 2006
Total Posts : 818
   Posted 10/10/2006 5:06 PM (GMT -7)   

Hi Ed,

As I have come to understand the post-op PSA test; it will indicate if there were any residual PCa cells that have escaped to other tissues; bone, limph glands, blader, and so on. If there is an indicator from the PSA test that PCa cells are present then the doctor and patient can consider additional treatment options. 

Swimom will be able to explain in greater detail.

Glen

 


sterd82
Regular Member


Date Joined Sep 2006
Total Posts : 187
   Posted 10/11/2006 1:45 PM (GMT -7)   
May as well chime in...
 
Here's how I understand it: for those of us who have had our prostates removed, the only things that generate detectable PSA in our blood are either prostate cells or prostate CANCER cells.  Without a prostate, we shouldn't have prostate cells, so detectable PSA post-op is an indicator that there are cancer cells SOMEWHERE in our systems.  Its either - residual disease (they didn't get it all), or a local recurence (which means the cancer is growing back at the surgical site) or the cancer has spread into other parts of our bodies --- which is not a good thing.
 
My post-op PSA have bounced between .04 and .09 (not in a linear upward trend).... my doc said not to get too worked up unless it started pushing .2.  IF that happens, and you suspect local recurrence or residual diseae in the prostate bed, radiation appears to be the next step in mainstream medicine.
 
We want to keep an eye on this because if the PSA starts to rise, the "second chance" for a cure is best when you do additional therepy BEFORE the PSA rises to 1.
 
We're "lucky" that we have one of the few cancers with such a strong marker.  THis saves us from jumping into unneeded treatments, and also tells us when to really get up on things.
 
Congrats on the .1 reading--- keep it up --- or I guess I should say DOWN!  

Ed NJ
New Member


Date Joined Jun 2006
Total Posts : 17
   Posted 10/11/2006 1:55 PM (GMT -7)   
Thank you both for the info.

M. Kat
Veteran Member


Date Joined Jul 2006
Total Posts : 715
   Posted 10/12/2006 5:07 AM (GMT -7)   
thanks for asking the question. Jeff's doctor recommended a supplement for a healthy prostate and Jeff asked why should I take it if my prostate is gone? the answer was you never know if there are any cancer cells lurking that are undetectable right now. I guess that is why there can be a recurrence of cancer even when the prostate is removed. I was wondering if our sons (19 and 23) should take the supplement? but it's about $30 a month.
Husband Jeff 56 years old
diagnosed July 27, 2006
PSA 6.5
2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006


spinbiscuit
Veteran Member


Date Joined Apr 2006
Total Posts : 818
   Posted 10/13/2006 1:40 AM (GMT -7)   
Hi Kat,

How about some of the natural foods that help promote a health prostate? Pomagranite juice is one. The trick is getting your sons to drink it.

Glen

Wicket
Regular Member


Date Joined Aug 2006
Total Posts : 316
   Posted 10/13/2006 2:12 AM (GMT -7)   
Kat,
What kind of supplement are you talking about?  I have Curtis drinking the pomm juice and he likes it.  I also bought the selemium tablets, but found he's already getting all he needs in his multi-vitamin.

Ellen
 
 
Curtis, 63,  Diagnosed Aug 21, 2006
T1C
Gleason 3+3=6, 3+4=7
PSA 4.10
Bone Scan Negative!!
DiVinci surgery done on October 3rd, 2006
Catheter out October, 11, 2006
After surgery T2C and cancer found on both sides instead of just one side.
Pathology report came back clean!!!


M. Kat
Veteran Member


Date Joined Jul 2006
Total Posts : 715
   Posted 10/13/2006 4:20 AM (GMT -7)   
He is taking Prostate 2.2 which is from www.theralogix.com. it has higher levels of Vit D, E selenium, lycopene and soy. We already take other vitamins but I couldn't get the levels to come out the same, so I just bought it. Jeff has never been one to take any pills, and now he's taking quite a few. :)

good idea Glen. I'll buy some and see if I can get them to drink it.
Husband Jeff 56 years old
diagnosed July 27, 2006
PSA 6.5
2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006


sterd82
Regular Member


Date Joined Sep 2006
Total Posts : 187
   Posted 10/13/2006 4:51 AM (GMT -7)   
Just in case anybody's curious...Prostate 2.2 contains:

100 IU vitamin E (as mixed tocopherols)
1600 IU vitamin D (as vitamin D3-cholecalciferol)
200 mcg selenium (as selenomethionine)
30 mg lycopene (as Lyc-O-Mato®)
50 mg soy isoflavones (as Novasoy)

I compared this with the high potency vitamin I take. The biggest vitamin difference is the Vitamin D (this has 400% daily disage). My multi-vitamin does not have soy or lycopene. My thinking there is to get these from food sources (tomato products and watermelon for lycopene, soy nuts and soy milk for the soy).

All good things no matter how you get them, although I'm going to take another look at taking Prostate 2.2. I also take Nexrutine, which is a Cox-2 inhibitor. And I've replaced scotch with pommegranite juice!

I've NEVER been much of a pill taker, either.....now look at me! I went to a church meeting last night that served pizza and didn't even eat a piece... which for me, turning down pizza would have been UNTHINKABLE 6 months ago..... Amazing what having the you-know-what scared out of you can do to modify behavior!
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