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Should we be worried Psa 2.81 up from .51

djs123
Posts: 102
Joined: Jan 2012

 

Husband had 40 radiation treatments (gleason9) completed radiation in may. Also on Lupron. Last shot has been delayed 30 days due to other complications. Diagnosed with lung and bone dance in November, treated with chemo and scan shows improvement there, thank God. The prostate has taken a back seat to this devastating news and that's why he is 30 days late for the Lupron shot. the ling oncologist doesn't think the number is cause for worry? What do you think?

 

 

 

VascodaGama's picture
VascodaGama
Posts: 1517
Joined: Nov 2010

DJS

A PSA of 2.81 is worrisome at any stage, particularly if he is under the influence of hormonal drugs. However, I do not recall his HT protocol to give you my opinion on possible causes. Can you share his PSA history since the end of IMRT, and if the protocol included any antiandrogens?

These drugs at some point of the treatment become the source for feeding of the cancer and for elevated PSA. This is when one experiences refractory.

I hope that the cause of the increase is found to be from other reasons rather than metastases.

Best wishes.

VG

 

ralph.townsend1's picture
ralph.townsend1
Posts: 350
Joined: Feb 2012

I'm sorry for your conditions, keeping the fight going. If your talking about Lung and bone cancer, when I think the rise in PSA could be from the lung and bone cancer. The PC can move quickly into the Lungs or Bones!

The Hormonal drug will keep the the prostate cancer food source in control, but if the cancer aggressive. It will start producing it's on food source to feed the cancer. Do not stop the HT medicine for it stop some of the food source.

 

Good Lucky

God Bless, Ralph

 

Samsungtech1
Posts: 350
Joined: Jan 2011

I had lung nodules and had radiosurgery for it. They disappeared.  Theycan usethis for bone cancer as well.  I am now on HT treatments.  Has your doctormentioned this?

Mike

djs123
Posts: 102
Joined: Jan 2012

To answer a posed question,  his psa was never high, .46 when diagnosed, .56 at end of treatment, now 7 months after rads have stopped 2.81.  The lung doc did the blood test and the normal range chart was .0 - 4.1, so he said it was no cause for worry.  We are going to the prostate doc on Wednesday.  I'm scared now....have been celebrating shrinkage from chemo on lungs and bone mets.  

BTW the prostate is not the primary, unrelated.  The lung cancer spread to bones, so he has two different things (actually 3 I guess) going on. He feels well and looks well, with the exception of being tired.

Praying and fingers and toes are crossed.

VascodaGama's picture
VascodaGama
Posts: 1517
Joined: Nov 2010

DJS

I am sorry if my previous post has upset your celebrations. I did not wanted to worry you but the rise of the PSA 0.05, reported by you last October, to 2.8I you mentioned in this thread, is a significant indication that something not proper is happening in your husband’s treatment.

(http://csn.cancer.org/node/247713)

I am pleased to know that you are visiting the prostate doctor the soonest, so that he will provide you with reliable information on the present status of your husband.

The Lung doctor is totally ignorant and stupid for passing you such a comment of “normal levels of PSA (0 to 4)”. He surely knows that your husband is a prostate cancer patient on treatment so that those “normal levels” are irrelevant.

 

The PSA is specific of prostatic activity and such a rise could be a cause of many things including the influence of chemo therapy administered for the lung cancer. I hope you get proper answers from his physician in charge of the follow up of PCa.

 

Best wishes for continuing improvements.

 

VGama

djs123
Posts: 102
Joined: Jan 2012

VGama

Thank you for your reply.  I know I can always count on your posts for accurate information.  I'm was quite surprised the lung oncologist made that comment also, but perhaps because we had good news on the treatment working on the lungs and bones he did not want to burst our bubble.

We are, in fact, going this week to urologist and I am sure he will tell us what's going on.  I will keep you posted.  I pray it's not another complication.

 djs

djs123
Posts: 102
Joined: Jan 2012

Further to my previous post.  We went to the urologist on Wednesday.  My husbands psa was never high .46 at diagnoses (Jan 2012), dre exam led to biopsy which led to Gleason 9, 40 radiation treatments and lupron HT.  He is now been treated with chemo for lung & bone cancer, (unrelated to prostate) doing well.  Last psa went up to 2.51, one week later 1.56. 

We were obviously concerned abou the increase psa......Basically doctor said since psa does not seem to be reliable gauge in his case, to continue treatment (HT) as indicted and test psa every 3 months, he is not overly concerned and will not be unless it increases dramatically.  Two doctors have told us this.

So the takeaway here is, psa is case by case.

He continues to have a distended belly, anyone else have this?  Never had a pot belly, assume it's the hormones?

Thanks to all...

Wishing all better health and good news in 2013!

djs

muckdown
Posts: 27
Joined: Jul 2011

I have a pot belly loss of sexual libido,minus testostone (readings below zero) breast growth low strength on occasion. All from hormon treatment.

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