Non detectable to detectable PSA

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swl1956
swl1956 CSN Member Posts: 256 Member
in Prostate Cancer #1

I believe I'm experiencing a slight rise in PSA? I finished 40 IMRT treatments 3 months ago and have been on ADT for almost six months. My PSA 3 months ago was considered undetectable at <.04. Just got my current PSA result now at .04 without the less than sign. Might this be a concern?

Comments

  • Wheel
    Wheel CSN Member Posts: 249 Member
    #2

    I would not be to concerned yet. The < symbol previously could have had your PSA at .038 so it is hard to say. Even without your prostate your body produces a little PSA. I have always assumed they have the <.04 because people have various degrees of this non prostate PSA production. I would wait until your next test.

  • Clevelandguy
    Clevelandguy CSN Member Posts: 1,341 Member
    #3

    Hi,

    Since you had IMRT you will have a PSA reading since you have live Prostate tissue still in your body. I would wait for several readings to determine if your cancer has retuned. Your numbers could jump around a little but if they steadily increase something could be going on.

    Dave 3+4

  • Old Salt
    Old Salt CSN Member Posts: 1,663 Member
    edited July 29 #4

    What Clevelandguy wrote.

    I had to go back, but it looks like you underwent a Nanoknife procedure. Therefore, you still have a significant amount of prostate tissue left. With respect to your PSA, I would not be concerned about such a small increase; it may not even be statistically significant. If you are still worried after reading our posts, just ask your Fox-Chase specialist for his opinion.

    Of course, continue with regular PSA tests.

  • swl1956
    swl1956 CSN Member Posts: 256 Member
    #5

    Thanks guys! I'll be asking one of my oncologists at an appointment I have today. I agree with your assessments, but hard not to worry a bit with stuff even if the increase is small. I'll post what he says.

  • Paul_Cancer_Survivor
    Paul_Cancer_Survivor CSN Member Posts: 14 Member
    #6
    https://csn.cancer.org/discussion/329565/non-detectable-to-detectable-psa

    Good Morning, swl1956.

    I doubt it… but this is a question for your doctor.

    Another question for your doctor may be…

    "Should I have a PSMA/PET scan?"

    Have a terrific day, and all the best.

  • On_A_Journey
    On_A_Journey CSN Member Posts: 168 Member
    #7

    @swl1956 , I wouldn't be concerned at all. After my primary treatment (radical prostatectomy) and secondary treatment (salvage radiation), the lowest my PSA got to was 0.04 in May 2018. It has taken 7+ years for my PSA to climb back up to 1.0, and I'm still not undergoing treatment yet, although I am waiting for the results of my latest pet scan now, which will determine what happens next. But it's not like I'm in God's waiting room!

    My point is, I am you seven years ago. Keep up with your surveillance and just keep living your best life!

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