How high can PSA go ?
I had RP 20 years ago at 52. Me along with my family got really anxious when PSA begin to increase to double digits.
I just learned that a friend of mine has a PSA of 373 and he thinks that is pretty good. After talking to my doc about his high PSA the doc told me that he treats guys regurally with PSA in the thousands.
Hmmmm why worry about my PSA of 14 now. In my opinion PSA numbers are "noise" and should not cause anxiety until they get into triple digits. Chances are that one will die of something else by that time.
Ask your doc what the highest PSA that he has seen..............you will be relieved and surprised.
Dr. Charles Myers told me that men become symptomatic....and die....with PSAs from 100 to several thousand. It varies greatly from man to man.
PSA 6.48, biopsy Gleason 3+4, robotic prostatectomy 9/17/08, pathology Gleason 4+5, pathologic stage T2c, positive margins, SRT completed May 22, 2009. 1st post-radiation PSA, 8-4-09, <0.06. 2nd post-radiation PSA 12-22-09 <0.06. PSA, July 23, 2010: <0.06. PSA, January 10, 2012: 13.90. Re-test, February 6, 2012: 16.47. April 6, 2012: 25.6. PSA, May 2, 2012: 37.74. PSA, May 27, 2012: 37.4. PSA, June 17, 2012: 51. PSA, Sept 27, 2012: 110.24. PSA, January 28, 155. May, 2013, Well, you get the idea...
How about this:
"We present a 64-year-old Caucasian man with no specific urologic or pain symptoms and with an initial PSA serum value of 21,380 ng/ml. Initial laboratory studies showed chronic anemia and elevated alkaline phosphatase, most likely from bone marrow infiltration due to metastatic disease...Treatment was initiated with bilateral subcapsular orchiectomy and bicalutamide therapy in an effort to create total androgen blockade. After 3 months of follow-up, the serum concentration of PSA was 29 ng/ml.
This case presents an asymptomatic prostate cancer patient with bone and liver metastasis, enlarged retroperitoneal lymph nodes and the highest PSA level published to date."
Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NXMX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 (and thereafter) <0.1
Wow, congratulations to you, a 20 year prostate cancer survivor!
You are now 72, so, if I were you, the first thing I will try to determine is my PSA doubling time, if it is >1 year, most likely will die from something else and not prostate cancer.
As for how high should we worry? I believe mkane09 is correct, it depends on the individuals.
Originally Posted by Replicant
Thank for the info. Now I know one can have a PSA of 21,000 and no symptoms.
Age At Diagnosis: 59
Pre-Op PSA: 4.5
Diagnosis: Prostatic Adenocarcinoma
Surgery: Retropubic Radical Prostatectomy (RRP) 07/16/2012
Gleason Grade: 4+3=7 (Not-So-Good Cancer)
Extraprostatic Extension: Neg.
Lymph Nodes: Neg.
Seminal Vesicles: Neg.
Tumor Quantitation: <5% Of Prostate
Tumor size: 1.1cm.
Perineural Invasion: Present
Post-Op PSA: 0.4
Completed 35 sessions adjuvant IMRT on 12/13/2012
PSA as of 01/10/2013: 0.2
PSA as of 04/12/2013: 0.1
PSA as of 07/10/2013: <0.1
PSA as of 10/08/2013: 0.1
PSA as of 01/15/2014: 0.2
Still holding at 0.2 as of 4 months ago.
0.3 as of 1 month ago.
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Always be careful. A friend fought PCa for 7 years before his passing last year. They threw everything at him but to no avail. It finally it mutated into small cellPCa in his lungs. His PSA was never over 10! Not normal, but what is?