What to expect PSA number 4.7? 72 yr old

Posted by Joe M. @joem, Oct 30 5:29am

At 72 yr old is a 4.7 PSA reading common, not saying that it’s normal.
Should I wait a month and have a new test?
I have seen that the normal course of action is next schedule a biopsy and then radiation.?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

groundhogy | @groundhogy | Nov 5 1:48am

Here is a good website to compare odds of cure for the major treatment paths. You have to determine your stage, low risk, intermediate, or high risk (risk of recurrence). So if you are intermediate, pull up the intermediate chart and you can see the odds of 10-20 yr survival, etc. based on the treatment you pick.
https://www.prostatecancerfree.org/compare-prostate-cancer-treatments/
It is best viewed on computer or just print it on paper. Not so viewable on phone.

To make the graphs easier to read, i drew a dot on the endpoints of the elipses, and then drew a line through the dots. This turns the elipses into lines.

Also be aware the the graphs don’t show any salvage radiation benefit. This would boost the surgery odds up a bit.

And, this is a very dysfunctional industry from my view. Loads of bad info mixed in with the good info. Same with the docs. Some of them are more dangerous than the cancer.

groundhogy | @groundhogy | Nov 5 1:50am

And personally, I wouldn’t trust a urologist to help me across the street. But that’s just me. Lol

Joe M. | @joem | Nov 5 7:02am

Unfortunately there are some medical professionals that their trust go hand in hand with their beach home retreat and automobiles.

jackph | @jackph | Nov 6 7:41am

The diagnostic steps might follow a path like this.
1. PSA
2. MRI
3 Targeted BIOPSY based on MRI findings with Decypher test to assess risk
4. PSMA PET to evaluate potential spread outside prostate
5. Treatment decisions

bens1 | @bens1 | Nov 6 9:43am

@joe
You might want to try the PSE blood test right away. The PSA test has a 57% accuracy and if you add the PSE test, you get a 94% accuracy. It is an effective screening test that identifies an individual’s current risk of prostate cancer . PSE is administered alongside or following a standard PSA test to significantly boost screening performance and reduce the number of men referred for unnecessary biopsies and treatments. It also can be used to detect biological re-occurrence.

If you want to find out more, a Senior VP at Oxford biodynamics, who makes the PSE test has offered to be contacted via email for any questions. His name is Steve Arrivo and his email address is steven.arrivo@oxfordbiodynamics.com.