Curious !!!! What is happening with my psa ?

DIPSTICK
DIPSTICK Member Posts: 4
in Prostate Cancer #1

Last 4 psa results at 3 months apart using ultrasensitive psa test were 0.030 , 0.040 , 0.033 , 0.038 and the latest 0.044 !!!!!! Is this normal when using the ultrasensitvie psa test ? Should i be worried about this ? ( surgery aug . 2012 ) At what psa level should i consider salvage radiation ?

Comments

  • VascodaGama
    VascodaGama Member Posts: 3,701 Member
    #2
    It is too early to think about Salvage Treatments

    These tiny variations in results may be a cause of assays tolerances. It could also be due to your biorhythm in the day you drawn blood. You have no prostate in place but the urethra also produces a tiny portion of the serum which may cause small differences. The last result seems to be significative but it is still very low to indicate recurrence. The AUS considers a level of 0.2 ng/ml as the threshold to declare recurrence, in any case, constant increases is used by the majority as a means of cancer progression in prostatectomies.

    I would recommend you to continue with the 3-month tests and be concerned if these continue to increase.

    Best wishes

    VG 

  • DIPSTICK
    DIPSTICK Member Posts: 4
    #3
    VascodaGama said:

    It is too early to think about Salvage Treatments

    These tiny variations in results may be a cause of assays tolerances. It could also be due to your biorhythm in the day you drawn blood. You have no prostate in place but the urethra also produces a tiny portion of the serum which may cause small differences. The last result seems to be significative but it is still very low to indicate recurrence. The AUS considers a level of 0.2 ng/ml as the threshold to declare recurrence, in any case, constant increases is used by the majority as a means of cancer progression in prostatectomies.

    I would recommend you to continue with the 3-month tests and be concerned if these continue to increase.

    Best wishes

    VG 

    EARLY VS. WAITING FOR SECONDARY TREATMENT

    Is there any advantage to early intervention with salvage radiation since my psa is so low vs. waiting on the 0.2 threshold ?

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