Hey jc76, Good to mention your ‘normal’ PSA. I met a man in my surgeon’s reception area and we had both been operated on a month before. As these kind of conversations usually go he asked me ‘So what was your PSA?’ I replied that it was 6.1 and of course, asked what his was. His answer was ‘One’. He read the confusion on my face and began to tell me that he recently watched his best friend die an agonizing death from PCa. So terrified he became that he implored his urologist to biopsy him but the DR refused on the basis of his 1.0 PSA. He tried other uros and they all refused.
So he flew up to NYC to see my surgeon who also agreed with the other DRs and warned him that there could be side effects, etc. The guy dug in his heels and said he would sign whatever paper he had to, just do the GD biopsy! The surgeon agreed.
Lo and behold the guy had a Gleason 5+5 in most areas with no symptoms and LOW PSA. Turns out that some of the most aggressive PCa’s do mot express a lot of PSA and who knows why?
Of course, this is one of those things that you only hear now and then but it certainly bears reflection.