New PSA - 19 months after RP - Prostate Cancer A...

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New PSA - 19 months after RP

Paulo1968 profile image
14 Replies

Tested today again and test showed 0.03.

Last time it was 0.02 (3,5 monts ago).

Hope these fluctuations are normal!

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Paulo1968 profile image
Paulo1968
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14 Replies
Tall_Allen profile image
Tall_Allen

fluctuations are normal - only matters if there is a definite pattern.

humptedumpte profile image
humptedumpte in reply toTall_Allen

How can there be daily fluctuations in PSA if the prostate has been removed?

Tall_Allen profile image
Tall_Allen in reply tohumptedumpte

You are talking about negligible amounts.

LowT profile image
LowT in reply toTall_Allen

Even so, where does it come from?

Paulo1968 profile image
Paulo1968 in reply toLowT

I got aware that other parts of the body can produce some PSA as well and not only in the prostata. And this is not really clear how much! However Tall_Allen may say more about this.

Tall_Allen profile image
Tall_Allen in reply toLowT

I'm saying it is negligible - an anomaly, possibly - not really different from zero. Ignore it until it reaches 0.03

Dionysos profile image
Dionysos

As Tall Allen said, fluctuations are normal. As long they are limited. Hope they stay within the limits.

Paulo1968 profile image
Paulo1968 in reply toDionysos

Thanks. In April this year it was 0.03. So hope they keep this pattern. I will test again in February!

wallygator profile image
wallygator

My doctor considers anything less than 0.04 as "undetectable". I started IMRT when it hit 0.05. I like it better when it shows 0.00 even though I know there are limits to the accuracy of the test.

Paulo1968 profile image
Paulo1968 in reply towallygator

Hi, I read your story. Wasn’t it too early to start RT by having reached 0.05? Did you do any exam before radiation? My doctor says he doesn’t think of anything till PSA reaches 0.1.

Also in this forum I learned there has to be an increasing pattern for a while!

How are your levels of PSA now?

Thanks

wallygator profile image
wallygator in reply toPaulo1968

I was surprised that they wanted to start radiation at .05, but took their advice and did ADT and IMRT. It has been 18 months since I finished ADT and I am currently undetectable.

spencoid2 profile image
spencoid2

as others have said, it is the trend, not the numbers themselves. a positive trend suggests PC growth. also consider that there is variation in test results so a slight increase can mean nothing. use one of the online acceleration rate calculators to understand the trend but you need bigger changes than what can be accounted for by test variation. i am dealing with a change from 12.79 to 29.5 in three months. doubling rate of 2.5 months a lot more than can be accounted for by test variation.

Bcgkelly profile image
Bcgkelly

You seem to be doing well Paulo and hopefully you will be for a long time to come.

Paulo1968 profile image
Paulo1968 in reply toBcgkelly

Thanks, hope path for definitely recovery for you too .

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