Age They No Longer Check PSA
My husband has had high PSA levels for close to 10 years. He is turning a young 76 in a couple of months. Today his Primary Care Doctor told him they no longer needed to check his PSA levels at his age. Does that sound correct? I don't like the idea of no longer monitoring it. Thank you.
VascodaGama Member Posts: 3,598 MemberBetter checking the cause of the high levels in serum
You did not share his PSA histology, but I think that it is wiser to find what is causing the high levels of the serum.
I wonder if his doctor stops monitoring the PSA in patients older than 75 which is the age when surgery is no more recommended.0
Clevelandguy Member Posts: 825 MemberAge limit?
Depending on the circumstances of the case, a lot of times if you have a low level non agressive slow growing cancer there is a chance you will die from something else other than the prostate cancer. My Dad had prostate cancer in his mid 70s and they told him if it "flaired" up they would just knock it down with radiation and be done with it. If it was me I would still want it monitored just to know what is going on. Just my 2c worth.
What tests has he had?
Has he had MRI's and biopsies? PHI or PCA3 tests? Just psa tests? Not even free psa?
What is his psa history? Does he know the size of his prostate and what his psa density is?
If he/you don't have this information, then he absolutely should not stop being tested, and using the PHI test rather than just psa.0
The PHI test
ClaCla, the PHI test will provide psa and free psa results, as well as another cancer biomarker and a score of cancer likihood. All-in-one.0
Swingshiftworker Member Posts: 1,017 MemberNew PSA Screening Protocols
There is a trend towards reducing PSA screening screening in general and for older men in particular because of the belief that the higher deterction of PSA has resulted in unncessary treatment and seriously adverse side effects w/relatively little benefit in terms of mortality.
However, ever case is diffferent and if you and your husband think he is "at risk" for prostate cancer that would be life threatening, you certainly can still ask the the procedure be done or go elsewhere to get it done.
Screening is not the problem.
SSW, As I am sure you realize, overtreatment is the result of bad advice following the finding of prostate cancer, not the finding itself. I was diagnosed almost nine years ago, and, because I did not have greedy or outdated doctors, I have never suffered overtreatment. So, I see nothing wrong, and useful knowledge to gain from being tested, even at older ages.
A few men have bad initial findings, and it would be a shame to miss them. Others, with ethical urologists, can benefit from the awareness and follow-up that findings of low risk cancer require.0
hopeful and optimistic Member Posts: 2,333 Memberedited January 2018 #12.
I was diagnosed about the same time as AS Advocate, and was also fortunate to be monitored in a active surveillance program. One of my doctors, a surgeon recommeded active surveillance as well. I was grateful to have this choice, espeically when the doctor(a radiologist ) that I saw previously recommended a combiation of two different radiation treatments, brahy and IMRT, and told me that there was a 50 percent chance the cancer was outside the prostate and I had 8 weeks to make a decision, or else.
Following an active surveillance protocol, I have lived a "normal" life for the last nine years.
When the new guidelines were being formulated and issued, I, other survivors, and many, many doctors wrote letters to these decision makers asking them to not institute this policy, and indicated that men will die resulting from this policy. many men will be diagnosed with more advanced disease, that cannot be treated locally. There will be more deaths among this population that would be diagnosed when there are symptoms, and cure is not possible.
I believe that the reason that these guidelines were instituted was mainly to limit short term expense and also to stop overtreating when men are candidates for simply monitoring. Eventhough there are doctors that will not treat men with indolent disease, many men are terrified at the word "cancer" and seek a doctor who will treat. Over treatments includes surgery, all forms of radiation, HIFU, etc, etc.0
never to old to check
I said it earlier in this post,, do not listen to any body that says to old to be checked... i had a bad doc tell me that and wheni got sick i had metastatic stage 4 prostate cancer... no cure you just die off it not with it... wish i couldline up all stupid doctors... sorry don't mean to rant0
- 120.1K All Discussion Boards
- 6 CSN Information
- 6 Welcome to CSN
- 120.3K Cancer specific
- 2.8K Anal Cancer
- 437 Bladder Cancer
- 302 Bone Cancers
- 1.6K Brain Cancer
- 28.3K Breast Cancer
- 384 Childhood Cancers
- 27.8K Colorectal Cancer
- 4.6K Esophageal Cancer
- 1.1K Gynecological Cancers (other than ovarian and uterine)
- 12.7K Head and Neck Cancer
- 6.3K Kidney Cancer
- 654 Leukemia
- 772 Liver Cancer
- 4.1K Lung Cancer
- 5K Lymphoma (Hodgkin and Non-Hodgkin)
- 228 Multiple Myeloma
- 7.1K Ovarian Cancer
- 39 Pancreatic Cancer
- 481 Peritoneal Cancer
- 5.1K Prostate Cancer
- 1.2K Rare and Other Cancers
- 528 Sarcoma
- 699 Skin Cancer
- 640 Stomach Cancer
- 190 Testicular Cancer
- 1.5K Thyroid Cancer
- 5.7K Uterine Cancer
- 6.2K Other Discussion Boards