Well my three month PSA came in this time at 0.1. This after two consecutive 0.0 and an initial 0.1.
My urologist was not very concerned. I don't know how to react yet to be honest. I wish I had thought of the question I am now forming to ask him.
He explained that there are several explanations for this outside of cancer. He said my PSA level could be a constant hovering around the 0.1 line from test to test (this could explain my initial reading of 0.1 followed by two 0.0). As I think about it I am sure that he is correct, but what I don't know is how likely these alternative explanations are as opposed to cancer. Particularly given my stage of T3A (with one positive margin found at the apex).
He suggests holding off on any further treatment unless/until it rises to 0.2 anyway. As I think about it I am wondering that if this is cancer what the risks are of delaying treatment as opposed to starting it earlier. But then again I wonder what the possible side effects of radiation are and would not be anxious for them if they are not necessary.
And then I read that a PSA that starts to rise within the first two years suggests distant metastases, so is it too late already? That is probably being too pessimistic.
I guess I am writing this for words of wisdom. I know that T3A stage is debatable.
Gotta go do my homework on this I suppose.
51 Year Old DBA by profession; amateur pianist by passion.
June 2006: PSA 4.6. DRE prostate enlarged.
Aug 2006: Second opinion confirms first. Biopsy suggested.
Sep 2006: Biopsy results positive one lobe. Gleason 3+3.
Nov 2006: RPA performed at Fletcher Allen in Burlington VT.
Nov 2006: Pathology report: Stage T3a and Gleason 3+4.
Dec 2006: PSA 0.1
Feb 2007: PSA 0.0 (under 0.1)
May 2007: PSA 0.0 (under 0.1)