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first post-op PSA

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Prostate Cancer
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maldugs
Veteran Member
Joined : Jun 2007
Posts : 802
Posted 9/26/2007 2:32 AM (GMT -7)
Hi everyone, my PSA came in at 0.05, Urologist said that the PSA might have not completely got out of my blood, so having another blood test on 24th October, he said I may have to have follow-up radiation, and has made an appointment for me with a radiologist Dr on 31st October.

Was hoping for a 0.01, but you can't have everything can you, with my cancer extending through the prostate I guess maybe some cells have escaped, but the doc says if thats the case the radiation will fix it, so we off to Sydney to see friends for 3 weeks on 7th Oct.....need a break.

Regards Mal.

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War-eagle
Regular Member
Joined : Sep 2007
Posts : 219
Posted 9/26/2007 5:24 AM (GMT -7)

Mal,

0.05.................great news. It's still two zero's headed for three. Radiation is a good option to kill the little buggers that are left over. I can't think of a better fate for them. "I love the smell of burning PSA in the morning". I had 38 treatments. It helped me set my work schedule for a few months. 8:30am every day Monday/Friday. The calendar was easy to fill in.

Go gett'em big guy, best wishes and prayers.

War Eagle to all.

Walt

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kdnole
Regular Member
Joined : Jun 2007
Posts : 152
Posted 9/26/2007 5:33 AM (GMT -7)
I guess we are in the same boat. I'll go back for my 2nd PSA in November and the Dr. has already said I'll probably go see a oncologist no matter the results because of the positive path report.
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biker90
Veteran Member
Joined : Nov 2006
Posts : 1465
Posted 9/26/2007 8:09 AM (GMT -7)
Congrats Mal.

My first PSA (3 weeks post-op) was 0.04. All tests since then have been 0.00. I guess thats why some docs wait longer for the first one.

Good luck,

Jim
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 9/26/2007 8:17 AM (GMT -7)
Hi Jim,
I had similar PSA results. I was able to log my histograms quite well as I have had 6 PSA's since March. Three weeks after surgery I was 0.9. Then it dropped out by five weeks. Nothing since. I still had to take an action and started HT in May, IMRT in June to address the positive margins. I am certain by now you have come to terms that you will have to choose what to do next. And by now you know there is no clear choice. Good Luck moving forward. If you need anything from a fellow pT3 patient let us know. God knows there are enough of us here.

Tony
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myman
Veteran Member
Joined : Feb 2007
Posts : 1219
Posted 9/26/2007 8:34 AM (GMT -7)
Hi Jim,

Perhaps not what you hoped for but still...that's in the range. I wish you all the best and a trip sounds like the right thing for you.


Susan
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AEG
Regular Member
Joined : Nov 2005
Posts : 154
Posted 9/26/2007 10:08 AM (GMT -7)
I'm confused, I thought the post surgery psa should be <.1 to be considered normal. Do the docs typically recommend radiation if the psa is 0.05? I hope someone can clarify this for me. Thanks.

A.
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PianoMan
Regular Member
Joined : Feb 2007
Posts : 365
Posted 9/26/2007 3:19 PM (GMT -7)
Hi Maldugs:  Like AEG, I'm confused too.  Both of my post-op PSA scores were less than 0.1 (which is twice as high as yours) and were considered undetectable.  I've been told that diagnostic methods can differ, in terms of the sensitivity and calibtration of the machines doing the analyses.  Perhaps at your medical center/lab they have a way to determine an "absolute zero" PSA score?
I have a feeling your doctor is setting you up with a radiation oncologist as a precautionary measure. 
O.05 sounds really good to me -- I'll take that score all day long -- all life long!
Keep your chin up.
Tom
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Tony Crispino
Veteran Member
Joined : Dec 2006
Posts : 8151
Posted 9/26/2007 5:53 PM (GMT -7)
I have two cents worth.
There are varying types of PSA Assays. Mine is the Bayer assay and readings are in tenths. There are other assays that provide for a different reading, some of which are a finer test to the hundreths. However when I asked my oncologist about it he said that <0.1 is undetectable. That any tests that give a deeper number are not as accurate because you can have PSA from adrenal glands and thus they can give a false positive. He did say that once PSA begins to rise that he would occasionally use the finer tests to see doubling rates and the effectiveness of treatments as they are administered.

All of that stated, Maldugs has the same numbers nearly as I do. And regardless of the PSA, we are high risk for relapse. RT and HT are considered adjuvant therapies for our stage and disease agressiveness. So I am not surprised by the recommendation for additional treatments. 38 was the count for me with RT and HT is tolerable.

Good Luck Maldugs,
Stay healthy!

Tony
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