Advice needed
Comments
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Thank you for the words of encouragement, Wheel and CentalPA.
Yes, we are happy with the decision to use the teaching hospital. We are worried but trying to take your advice and work through the process.
Thank you guys so much for answering all of my questions.
I’ll update everyone when we receive the results.
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fantastic..step,1 mri go,from there.. worst case scenario and it does happen to be cancer. You caught it extremely early and that’s a very very very very good thing. Your husband has a good doctor when he turned 50 they probably started checking for PSA just think if they didn’t bother to check like with me, I caught it early. but it’s very very early in the game. keep us posted
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First of all don't panic. I'm 64 Mine went from 2.85 to 5.89 in a year and a half I was shocked. I do have an enlarged prostate. My urination is not bad at all. I had the biopsy, 12 cores taken and all was benign. Next few months i am going for more blood work if nothing has changed then an MRI. Not sure what an MRI will see if my biopsy was neg. I Don't have frequent urination at night I get up only once per night. Don't need flowmax. Hope your outcome will be the same
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PSA is a measure of prostate tissue, not specifically cancerous tissue. The number is less significant than the change over time. Mine was 4.2 which I thought was low - just above the normal range for my age, and I did have BPH. Yes, it was cancer. Nevertheless, thats low enough that it helps determine that it's unlikely to have spread.
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I agree that the change in PSA over time is more important than the actual PSA reading itself. However, I do not necessarily agree that a relatively low PSA number (4.2 in this discussion) is "low enough that it helps determine that it's unlikely to have spread". Over a 5 year period, my PSA increased from 3.2 to 5.3, and when I ultimately had my biopsy after the 5.3 reading, my prostate was almost fully engulfed in 4+3 PCa. Over the next 13 years with surgery, two rounds of radiation, and two rounds of hormone therapies, my PCa still has metastasized.
Aggressive PCa can have a lower PSA reading, compared to less aggressive PCa, so we shouldn't automatically be complacent because the PSA reading is low or aligning favorably with generic PSA/age charts. If you are concerned about your PSA reading, IMO, you should demand a biopsy, so that you know specifically what you are (or are not) dealing with.
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In my case I was 3.8 in 12/2022. I was 4.4 in 6/2024. After the 4.4 I went for an MRI, I was PI RADS 5. The biopsy in September was a Gleason score of 7=4+3. There was no metastasis. The edges were clean after surgery. A low score does not mean that the cancer is not aggressive.
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I’m glad your husband is moved Fwrd with biopsy and being proactive. My husband was diagnosed with stage 4 Mets prostate cancer 3 yrs ago, hormone suppressant zitiga, his psa has stayed low he is tolerating treatment meds still working. We also shocked to here dr wanted to do a monitoring treatment my husband insisted on a biopsy if he had not he would not be here. I will tell you thus the treatments has advanced considerably, I hope your situation isn’t too dire and his can be treated in a less aggressive manner. The side effects from treatment can be brutal but fight the fight get second opinions on treatment. And pls take care of yourself ! It can get rocky in a relationship your husband will go thru many emotions and it will not be easy for you ….. take care of yourself
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