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Thread: I never get used to it...(PSA-test-angst)

  1. #31
    Sure looks very STABLE to me Wilde!!!

    Simply continue to keep it that way!

    MF

  2. #32
    Quote Originally Posted by Wilde View Post
    And the PSA saga continues...today I had my 4 year PSA test and it came out at 0.06. This was not what I had hoped for but for the last years it has hovered at <0.05 and 0.05 which is the limit for what is considered measurable in Sweden. But now it was 0.06. I guess it can be that my PSA is still hovering at 0.05 and I don't think I will panic until I see two rises in a row so I guess I will wait until next test in August before any decisions are made. I will talk to my urologist and see what he thinks...

    What do you guys think? am I hiding my head in the sand?
    A .01 increase over 4 years. Wouldn’t the doubling time be 16 years?
    DOB 5/1957

    PSA - 11/2010=1.9, 6/12=2.3, 12/13=2.19, 12/14=2.64, 3/17=5.29, 3/17=3.91, 6/17=3.47, 12/17=4.50, 12/17=3.80, free PSA low risk (local (Uro, “My opinion you don’t have cancer), 8/18=5.13, 10/18=5.1, 10/19 ISO PSA 56% risk cancer. All DREs negative.

    DX 12/18, GS 8, 4+4 6/12 cores, LL Apex 100%, LM Apex 60%, LL Mid 50%, LMM 40%, LL Base 5%, LM <5%, Right side negative, (Uro opinion “This has been going on for a year”.... ah, more like 2 years ). Bone scan/CT negative

    2/25/19 Robotic Laparoendoscopic Single Site Surgery outpatient Cleveland Clinic,

    3/6/19. Pathology - Grade Group 4 with Intraductal Carinoma
    T3aNO, GS8, 21 mm unifocal tumor 10%. -7 Nodes, - SV, - Margins, - PNI,
    - bladder neck neg., +LVI, + EPE non focal apex/mid lateral 1mm max extension, Cribriform pattern present. Decipher .86 High Risk.

    PSA 3/27/19 .03. (29 days)
    4/25/19 <.03. (58 days)
    5/25/19 <.02. (88 days)
    9/10/2019. <.02. (198 days)

    ADT - 6/3/19
    ART - 5 left

  3. #33
    Thanks guys and you are right of course, it is stable albeit a little high but that is fine with me and also the doubling time if existing is veery long. I will continue taking PSA at 6 months interval but not think about it if the trend does not change. My wife will call me cured..
    Born in 1962
    PSA 6.5, free PSA 10% Oct 2014
    10 biopsies taken Oct 2014
    6 biopsies G 3+3
    2 biopsies G 3+4
    T1c
    Total of 30 mm cancer of 130 mm biopsy samples
    da Vinci surgery jan 7th 2015, nerves spared on one side and "almost all" on other side
    Catheter out jan 23
    Feb 2nd, one shield/day almost continent
    March 17 2015 PSA<0.1
    Final stage pT2, no external invasion, no vesicles invasion, no lymph node invasion, small positive margin
    August 24 2015 PSA <0.1
    February 18 2016 PSA <0.1
    September 12 2016 PSA <0.05
    April 14 2017 PSE <0.05
    October 2017 PSA 0.05....
    Jan 2018 PSA 0.05
    Aug 2018 PSA <0.05
    Feb 2019 PSA 0.06
    Aug 2019 PSA 0.06

  4. #34
    Top User garyi's Avatar
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    Apr 2017
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    Quote Originally Posted by Wilde View Post
    Thanks guys and you are right of course, it is stable albeit a little high but that is fine with me....
    LOL Darn, you're hard to please. Celebrate, Wilde
    72...LUTS for the past 7 years
    TURP 2/16,
    G3+4 discovered
    3T MRI 5/16
    MRI fusion guided biopsy 6/16
    14 cores; four G 3+3, one G3+4,
    CIPRO antibiotic = C. Diff infection 7/16
    Cured with Vanco for 14 days
    Second 3T MRI 1/17
    Worsened bulging of posterior capsule
    Oncotype DX GPS 3/17, LFP risk 63%, Likelihood of Low
    Grade Disease 81%, Likelihood of Organ Confined 80%
    RALP 7/13/17 Dr. Gonzaglo @ Univ of Miami
    G3+4 Confirmed, Organ confined
    pT2 pNO pMn/a Grade Group 2
    PSA 0.32 to .54 over 3 months
    DCFPyl PET & ercMRI Scans - 11/17
    A one inch tumor still in prostate bed = failed surgery
    All met scans clear
    SRT, 2ADT, IMGT 70.2 Gys @1.8 per, completed 5/18
    Radiation Procitis, and Ulcerative Colitis flaired after 20 years
    PSA <.006 9/18, .054 11/18, .070 12/18, .067 2/19, .078 5/19, .074 7/19, .081 9/19
    We'll see....what is not known dwarfs what is thought to be fact

  5. #35
    Quote Originally Posted by garyi View Post
    LOL Darn, you're hard to please. Celebrate, Wilde
    Will do!
    Born in 1962
    PSA 6.5, free PSA 10% Oct 2014
    10 biopsies taken Oct 2014
    6 biopsies G 3+3
    2 biopsies G 3+4
    T1c
    Total of 30 mm cancer of 130 mm biopsy samples
    da Vinci surgery jan 7th 2015, nerves spared on one side and "almost all" on other side
    Catheter out jan 23
    Feb 2nd, one shield/day almost continent
    March 17 2015 PSA<0.1
    Final stage pT2, no external invasion, no vesicles invasion, no lymph node invasion, small positive margin
    August 24 2015 PSA <0.1
    February 18 2016 PSA <0.1
    September 12 2016 PSA <0.05
    April 14 2017 PSE <0.05
    October 2017 PSA 0.05....
    Jan 2018 PSA 0.05
    Aug 2018 PSA <0.05
    Feb 2019 PSA 0.06
    Aug 2019 PSA 0.06

  6. #36
    Hello to my friend Wilde! This is great news that I'm happy to hear! Look at us both doing pretty good! I've been following you from day one on this site for me! So glad to read you're doing well!
    Wife posting for spouse - 51, age at dx 48
    06/2016: PSA 6.48
    07/2016: PSA 7.22 FPSA 10% 12 Core Biopsy Negative
    10/2016: PSA 6.30 FPSA 13%
    12/2016: MRI W/COIL PI-RADS 5 with Probable EPE, Bones/LN Clear
    12/2016: Biopsy Two cores 3+4 and Seven cores 3+3
    02/2017: RP Pathology 3+4 Grade 4 component is 5%
    Prostate: 32.7 gm Tumor Volume Estimate: 35%
    No EPE or lymphovascular invasion 13 lymph nodes, Seminal vesicles, vasa deferentia, no tumor present
    High grade prostatic intraepithelial neoplasia, Perineural Invasion: Present
    Tumor involves proximal basilar margin of 2.0 mm Gleason at margin is 3 pT2c,N0,MX,R1
    04/2017: 6 Week PSA <0.01
    05/2017: 3 Month uPSA <0.006
    8/2017: 6 Month uPSA <0.006
    11/2017: 9 Month uPSA 0.014 12/2017: Re-test 0.012
    2/2018: 12 Month uPSA 0.006
    5/2018: 15 Month uPSA 0.014
    8/2018: 18 Month uPSA 0.013
    11/2018: 21 Month uPSA 0.018 12/2018 Re-test 0.021
    SRT: Started 1/2019
    5/2019 27 Month uPSA <0.006
    Decipher 0.75
    100% Dry, No ED

  7. #37
    Quote Originally Posted by Ready2Fight View Post
    Hello to my friend Wilde! This is great news that I'm happy to hear! Look at us both doing pretty good! I've been following you from day one on this site for me! So glad to read you're doing well!
    Thank you, and really happy to hear you are doing well too.
    Born in 1962
    PSA 6.5, free PSA 10% Oct 2014
    10 biopsies taken Oct 2014
    6 biopsies G 3+3
    2 biopsies G 3+4
    T1c
    Total of 30 mm cancer of 130 mm biopsy samples
    da Vinci surgery jan 7th 2015, nerves spared on one side and "almost all" on other side
    Catheter out jan 23
    Feb 2nd, one shield/day almost continent
    March 17 2015 PSA<0.1
    Final stage pT2, no external invasion, no vesicles invasion, no lymph node invasion, small positive margin
    August 24 2015 PSA <0.1
    February 18 2016 PSA <0.1
    September 12 2016 PSA <0.05
    April 14 2017 PSE <0.05
    October 2017 PSA 0.05....
    Jan 2018 PSA 0.05
    Aug 2018 PSA <0.05
    Feb 2019 PSA 0.06
    Aug 2019 PSA 0.06

  8. #38
    Quote Originally Posted by Wilde View Post
    And the PSA saga continues...today I had my 4 year PSA test and it came out at 0.06. This was not what I had hoped for but for the last years it has hovered at <0.05 and 0.05 which is the limit for what is considered measurable in Sweden. But now it was 0.06. I guess it can be that my PSA is still hovering at 0.05 and I don't think I will panic until I see two rises in a row so I guess I will wait until next test in August before any decisions are made. I will talk to my urologist and see what he thinks...

    What do you guys think? am I hiding my head in the sand?


    Its sounds like you are doing fine. A very low PSA score, hardly moving. Your operation was already 4 1/2 years ago, your pre-operative PSA was only moderately elevated, your pathology was favorable after the surgery.

    I can't think of a reason for you to be that worried at all.

    At this point in time, I guess you can ask your doctor for a Miltown or other chill pill if you do have a lot of anxiety about this. But now, I can't see any urological interventions needing to be done.
    Nov 2013 PSA 4.2 Biopsy Jan 2014- 1 core positive, 20% Gleason 6, doctor highly reco'ed robotic RP - 2nd opinion at UPMC April 2014, put on active surveillance. 2nd biopsy Feb 2015, results negative. PSA test Feb 2016, 3.5. 3rd Biopsy Feb 2016. 3 positive cores less than 5%, Gleason 6. Octotype DX done April 2016, GPS Score of 24--rated "Low risk". PSA test 8/2016, 3.2. PSA test 1/2018 2.2 (after 7 months of proscar) PSA test 7/2018 2.3, PSA test 7/2019 2.0


    DOB 1956, in Pittsburgh, USA

 

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