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Thread: Requested a review of LabCorp Blood Testing

  1. #1
    Experienced User
    Join Date
    Mar 2017
    Posts
    82

    Requested a review of LabCorp Blood Testing

    As a result of my last uPSA Blood testing coming back with inaccurate data. My patient ID #wrong?, A Reported Tracking System Error, Omissions of information on test, and a review by me online of my last 21 months of reports,shows Acct# being wrong on previous testing results? These Logistical Errors,Procedural Mistakes and Omissions are unacceptable I have ask LabCorp for a complete review of my account!
    I have also requested a Original Lab Report (NOT a transcribed result) for the lab work preformed 18 Feb 2019
    It's not the results that have me as upset, as its the poor accounting of my lab work and account that has me feeling there is a problem at my lab, which could lead to false or inaccurate reporting!
    steve
    Diagnosis 56: DOB 2/59 PSA 01/14 (2.0) 6/15/15 (2.4)
    Biopsy 6/23/15 5 positive very aggressive Gleason Score 8
    Bone Pet Scan & Biopsy of rib Neg
    Radical da Vinci 10/15/15
    Pathology 54g 5x4.2x2.8cm gleason's grade 4+3=7 Tumor location quadrants Bilateral
    Extent of local invasion: Extra-capsular extensions present,Semi vesicles no invasion
    Vascular invasion none, Perineural invasion identified ,Multicentricity : multifocal
    Margins involvement/Not present on inked margins lymph nodes : five negative Pathologic stage pT3a,N0
    PSA 10/6/16 .1 1yr PSA 02/02/17 .4 PSA 02/15/17 .5
    Pet Bone Scan 2/18/17 Neg
    PSA 03/08/17 .6
    03/17/17 Aximun trial 17.4mm recurrence rt. semi vascular bed
    03/29/17 Casodex + Triptorelin Pamoate Injections 2yrs Stopped Casodex 6/18
    04/03/17 SRT (42) completed 6/3/17
    08/31/2017 PSA < .1 Last 6 uPSA <.006 uPSA 2/19 .030 5/19 .235

  2. #2
    Hi Steve. You have every right to be concerned and insist on a full review. Keep us posted.

    When you are able, perhaps you can list your test dates in order with two columns, the original reported value and the value either corrected or confirmed. We make treatment decisions based in good part on our PSA values. I would think each lab keeps a record of calibration and test runs by date.

    This emphasizes the need to always repeat a test when the result is unexpected: we want to either confirm the test or demonstrate that there was something wrong -- an outlying value could be the result of some error: sample handling, equipment calibration, reagent preparation, patient mixup, transcription error, etc. In addition, always print a copy of the original lab report. This will check that there weren't any transcription errors that happened outside the lab when transferred to a doc's portal or report.

    Two further points. Make sure your doc is aware of the problem. Docs, too, have every interest in accurate lab tests. Also, if you meet with pushback from the lab, I wouldn't be hesitant about mentioning that you are active on a popular PCa form followed by a large number of men who are tracking their PSA and who discuss the accuracy of tests done by the major companies--in other words that you will report on their handling of your case.
    Last edited by DjinTonic; 03-14-2019 at 03:18 PM.
    69 yr at Dx, BPH x 20 yr, 9 (!) neg. biopsies, PCA3 -
    2013 TURP (90→30 g) then 6-mo. checkups
    6-06-17 DRE: nodule R and PSA rise, on finasteride: 3.6→4.3
    6-28-17 Biopsy #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 5% RLM
    Bone scan, CTs, X-rays: negative
    8-7-17 Open RP, neg. frozen sections, Duke Regional
    SM EPE LVI SVI LNI(16): negative, PNI+, nerves spared
    pT2c pN0 bilat. acinar adenocarcinoma G9 (4+5) 5% of prostate (4.5 x 5 x 4 cm, 64 g)
    11-10-17 Decipher 0.37 Low Risk: 5-yr met risk 2.4%; 10-yr PCa-specific mortality 3.3%
    Dry; ED OK with sildenafil
    9-16-17 (5 weeks) PSA <0.1; Pomi-T (2/day)
    LabCorp uPSA (Roche ECLIA):
    11-28-17 (3 mo. ) 0.010
    02-26-18 (6 mo. ) 0.009
    05-30-18 (9 mo. ) 0.007
    08-27-18 (1 year) 0.018
    09-26-18 (13 mo) 0.013 (checking rise)
    11-26-18 (15 mo) 0.012
    02-25-19 (18 mo) 0.015
    05-22-19 (21 mo) 0.015

  3. #3
    Hi steve135! Has LabCorp confirmed that your recent "0.03" is an incorrect result?

    As stated in an earlier post (#11), lab results are not always correct:

    https://www.cancerforums.net/threads...074#post379074

    An incorrect uPSA result following RP can generate a ton of unnecessary concern and anxiety! Request/Require LabCorp to determine exactly where/how the error occurred in the sequence of steps from collection to reporting the result.

    Re "I have also requested a Original Lab Report (NOT a transcribed result) for the lab work preformed 18 Feb 2019:"

    - It appears from the details/verbiage that you stated in your previous post (#12), that this was not the LabCorp final report.

    - If you have not already done so, set up an account in the LabCorp Patient Portal. You will "eventually" receive your result BUT you will have access to "The Original Lab Report" by downloading the PDF. Then save a digital copy of it. Many of us "uPSA Guys" have set up a spreadsheet and plot our results. By inserting a Trend Line, the slope will indicate a rising trend. From this, the all important Rate of Rise can be calculated.

    Lastly, if an error is confirmed, I would have LabCorp repeat the uPSA with no out of pocket and no charge to your health insurer.

    Very sorry this has happened to you! You are now the 4th FB to whom this has happened. Errors will always occur. It is how the errors are managed and corrected falls on the shoulders of human responsibility.

    I am glad that you now understand why I emphasize "Original" when advising all to obtain copies of their Lab Reports!

    May your next uPSA result be <.006 and may it remain there!

    MF
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Referred to URO MD
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    Referred to URO Surgeon
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3a pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml
    uPSA remains "stable" at 84 Months Post Op: Mean = 0.021 (20x uPSAs: Range 0.017 - 0.026) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 99%)
    ED = present

  4. #4
    Experienced User
    Join Date
    Mar 2017
    Posts
    82
    I have no good information that any test is wrong or inaccurate. Only what I posted in the first post of this thread. There seems to be some issues with accounting of my info. It also apears that there may have been a transcribing issue on last test. Nothing that would apear to change the results of the blood test that I can see. But having wrong info on my labs results is a very serious issue. I have had wrong data posted on my Labcorp Portal information/ lab results. See first post in this thread!
    steve
    Diagnosis 56: DOB 2/59 PSA 01/14 (2.0) 6/15/15 (2.4)
    Biopsy 6/23/15 5 positive very aggressive Gleason Score 8
    Bone Pet Scan & Biopsy of rib Neg
    Radical da Vinci 10/15/15
    Pathology 54g 5x4.2x2.8cm gleason's grade 4+3=7 Tumor location quadrants Bilateral
    Extent of local invasion: Extra-capsular extensions present,Semi vesicles no invasion
    Vascular invasion none, Perineural invasion identified ,Multicentricity : multifocal
    Margins involvement/Not present on inked margins lymph nodes : five negative Pathologic stage pT3a,N0
    PSA 10/6/16 .1 1yr PSA 02/02/17 .4 PSA 02/15/17 .5
    Pet Bone Scan 2/18/17 Neg
    PSA 03/08/17 .6
    03/17/17 Aximun trial 17.4mm recurrence rt. semi vascular bed
    03/29/17 Casodex + Triptorelin Pamoate Injections 2yrs Stopped Casodex 6/18
    04/03/17 SRT (42) completed 6/3/17
    08/31/2017 PSA < .1 Last 6 uPSA <.006 uPSA 2/19 .030 5/19 .235

  5. #5
    Experienced User
    Join Date
    Mar 2017
    Posts
    82
    I have had Labcorp contact me with the lab results and as previouly reported the result was written .03 no < or > symbol? As far as the account number being diferent, they refered me back to the doctors office. They say that my URO has me with two different account numbers. I will try and pin down where the problem lies?
    Diagnosis 56: DOB 2/59 PSA 01/14 (2.0) 6/15/15 (2.4)
    Biopsy 6/23/15 5 positive very aggressive Gleason Score 8
    Bone Pet Scan & Biopsy of rib Neg
    Radical da Vinci 10/15/15
    Pathology 54g 5x4.2x2.8cm gleason's grade 4+3=7 Tumor location quadrants Bilateral
    Extent of local invasion: Extra-capsular extensions present,Semi vesicles no invasion
    Vascular invasion none, Perineural invasion identified ,Multicentricity : multifocal
    Margins involvement/Not present on inked margins lymph nodes : five negative Pathologic stage pT3a,N0
    PSA 10/6/16 .1 1yr PSA 02/02/17 .4 PSA 02/15/17 .5
    Pet Bone Scan 2/18/17 Neg
    PSA 03/08/17 .6
    03/17/17 Aximun trial 17.4mm recurrence rt. semi vascular bed
    03/29/17 Casodex + Triptorelin Pamoate Injections 2yrs Stopped Casodex 6/18
    04/03/17 SRT (42) completed 6/3/17
    08/31/2017 PSA < .1 Last 6 uPSA <.006 uPSA 2/19 .030 5/19 .235

  6. #6
    Quote Originally Posted by steve135 View Post
    I have had Labcorp contact me with the lab results and as previouly reported the result was written .03 no < or > symbol? As far as the account number being diferent, they refered me back to the doctors office. They say that my URO has me with two different account numbers. I will try and pin down where the problem lies?
    Do you have multiple personalities? That could explain the two accounts.

  7. #7
    Top User
    Join Date
    Aug 2016
    Posts
    1,402
    For what its worth, I use Quest and it looks like the tests for me may be going to California. Meaning, some local labs may not have the sensitvity some of us are requesting. Not certain, but a thought.
    Born 1953
    family w/PCa; grandfather, 3 brothers
    07-12-04 PSA 1.90
    07-10-06 PSA 2.02
    08-30-07 PSA 3.20
    12-01-11 PSA 5.69 Internist recommends urologist, I say no
    05-16-12 PSA 4.76 manipulate w/diet & supplements
    12-11-12 PSA 5.20, Health system changes to 3 years on testing
    03-07-16 PSA 7.20 Internist adamant on urologist
    DRE smooth, enlarged
    03-14-16 TRUS biopsy-prostatic adenocarcinoma 1%-60% across 8 of 12 samples, Gleason 3+3=6
    03-31-16 MRI pelvis w/o dye
    05-04-16 DaVinci prostatectomy, nerve sparing, Dr. Kent Adkins - recommend
    Final Path; weight 65g, lymph nodes, seminal vesicles, capsule, margin all negative, Gleason 3+4=7, Tumor volume 35%, +pT2c
    Catheter out - 16 days
    Incontinence at 6mos is minimal – no pad
    Cialis 3x/wk & Viagra on occasion
    Begin self-injection needle therapy for erections, stop after 6 due to onset of Peyronie’s
    Erections 100% - 14 months
    12-1-18 PSA <0.02, Zero Club 2.5 years

  8. #8
    Senior User
    Join Date
    Jan 2019
    Posts
    266
    Quote Originally Posted by DjinTonic View Post
    Do you have multiple personalities? That could explain the two accounts.
    Take the account with the better prognosis.
    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 )

    1/2/19 Bone scan/CT negative

    2/25/19 R-LESS (Robotic Laparoendoscopic Single Site Surgery) outpatient Cleveland Clinic,

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

    First PSA 3/27/19. .03
    4/19 Decipher .86 High Risk. 38% risk 5 year metastasis.
    PSA 4/25 <.03

    5/19 ADT started.

  9. #9
    Quote Originally Posted by DjinTonic View Post
    Do you have multiple personalities? That could explain the two accounts.
    Dj: Possibly steve135 has had multiple prostatectomies!!!!


    Steve: Re "I have had Labcorp contact me with the lab results and as previouly reported the result was written .03 no < or > symbol? "

    1. I have had 20 consecutive LabCorp uPSAs in the last 6 1/2 years. Results are always reported to 3 digits to the right of the decimal point.

    2. At the time of the blood draw, I have the phlebotomist show me the paperwork that will accompany the vial of blood to LabCorp and make certain that it states:

    Prostate-specific Antigen (PSA), Ultrasensitive TEST: 140731

    3. I signed up on my own on the LabCorp Patient Portal a couple of years ago. The system did not work very well during the 1st year BUT has been working commendably recently.

    I had my latest uPSA test drawn on March 26. I received an email the next morning that a new result was posted on the LabCorp Patient Portal. "The result has been sent to your Physician. It will be posted here at 7:11AM 3/29/19"

    The Requisition Form from my URO MD's office has the box checked: "Fax Resutls to 770......." So LabCorp faxes the result and makes it available to me 48 hours later. If I need it sooner, I email the URO RN and she sends it to me.

    Good luck!

    MF
    Last edited by Michael F; 04-09-2019 at 11:42 PM.
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Referred to URO MD
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    Referred to URO Surgeon
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3a pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml
    uPSA remains "stable" at 84 Months Post Op: Mean = 0.021 (20x uPSAs: Range 0.017 - 0.026) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 99%)
    ED = present

  10. #10
    You had really low psa levels and you had such an aggressive gleason. Wwre these tour only psa readings before getting this gleason score?

 

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