Advice needed

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Comments

  • Wifesupport1
    Wifesupport1 Member Posts: 10 Member

    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.

  • Steve1961
    Steve1961 Member Posts: 633 Member

    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

  • fishnmaine
    fishnmaine Member Posts: 1 Member

    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

  • Dirtclods
    Dirtclods Member Posts: 17 Member

    this amount insignificant? YES ! 4.0 ng/ml or less, So his still ok. His marker is not high. Do you use Hoag My Chart or Quest they have scales to look at on your PSA/Blood work

  • Rob.Ski
    Rob.Ski Member Posts: 177 Member

    His 3 test results were all over 4.0. For age 52, that's above normal. Regardless, biopsy will say if he does have cancer. If biopsy is negative, keep monitoring PSA. If it keeps rising, they can check again.

  • Marlon
    Marlon Member Posts: 137 Member

    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.

  • Josephg
    Josephg Member Posts: 464 Member

    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.

  • mbluth
    mbluth Member Posts: 15 Member

    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.

  • Marlon
    Marlon Member Posts: 137 Member

    Josephg yes you're right. No guarantees. It's just educated guesswork by the docs.

  • ly55
    ly55 Member Posts: 6 Member

    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

  • JackWest
    JackWest Member Posts: 19 Member

    Very similar for me. Want to compare notes further? I makes me feel better. How about you?