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Gleason7(3+4) - treatment options recommendation

Prostate Cancer | Last Active: Oct 7 1:02pm | Replies (237)

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@mulberry

Very nice description of your life in beautiful Victoria!

Regarding: " but most have a trace after surgery , you are right . "

Last week my surgeon explained why my first post-surgery PSA of 0.009 was not "undetectable" as I thought. He said that when the surgeon separates the prostate tissue from the bladder neck, the prostate tissue is "torn away" from the bladder neck and some of the BENIGN prostate cells remain behind on the bladder neck. (In my case, the cancer was not near the bladder neck) These benign cells naturally generate a small trace of PSA. My next PSA test will be in three months and if that PSA remains at or near 0.009 that will be my unique baseline against which future bi-annual PSA tests which be compared.
But if my PSA level has risen significantly higher than the 0.009, that would indicate that prostate cancer cells remain somewhere in my body and further diagnostics and treatments would be considered.
His explanation made such perfect sense, I thought I'd share it with the brethren.
Best of luck on your journey(s).

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Replies to "Very nice description of your life in beautiful Victoria! Regarding: " but most have a trace..."

Thanks for the update Sir ! This is great information.Makes sense if soem benign cells stick to Bladder neck . Excellent point . My urologist did say "some cells stick to areas , but we try and get them all , however just because yoru PSA is now at 0.056 , this means that some cells are producing a VERY SMALL amount of PSA . It doesn't mean they are cancerous . "With your slow PSA movements , I doubt they are cancerous in my opinion" my doctor said . I just try and enjoy each day to the fullest and do some good each day . Today , I will be hiking with my Dogs up a mountain , good seep grade so I will get a sweat on ! Dogs like it too ! Then a quick Sauna . Here in BC we consider undetectable as being 0.008 . You are one notch above this . Thats a very low figure . How low do your machines go ? Ours go to 0.008 , thats about it for the bottom of sensitivity at most labs here on the Island . Keep me updated on yoru progress . Im sure you will do Very well ! God Bless Sir . James on Vancouver Island .