Connect
← Return to PSA is .4 ng/ mL 3 years after prostectomy
Discussion
PSA is .4 ng/ mL 3 years after prostectomy
Prostate Cancer | Last Active: 2 days ago | Replies (26)Comment receiving replies
In your area is 'undetectable' 0.07 ? Ours here in Canada ( Vancouver Island ) is a very low 0.008 PSA ? What is your Gleason score ? Has it always been sub 0.07 since your surgery ? What did the pathology of your Prostate say ? I would think a PSMA PET scan would uncover many things for you . Your 0.7 is high enough for a good MRI with contrast and PSMA PET scan at this point . IS your URO ( Urologist)concerned ? - What did he say ? . Have you consulted with a radiation Oncologist (RO) yet and what did he say ? Let us know .... I care and are praying for the best for you brother ! ! James on Vancouver Island .
Replies to "In your area is 'undetectable' 0.07 ? Ours here in Canada ( Vancouver Island ) is..."
Hi Vancouver Hiker,
My Gleason score was 7 (3+4), grade 2. Since surgery each test has been sub.07 until Nov 20 it cam back at .4. Here is what pathology said. (I don't understand all of it)
FINAL DIAGNOSIS:
A) LYMPH NODES, RIGHT PELVIC, EXCISION:
THREE LYMPH NODES WITH NO METASTATIC CARCINOMA IDENTIFIED (0/3).
B) LYMPH NODE, LEFT PELVIC, EXCISION:
ONE LYMPH NODE WITH NO METASTATIC CARCINOMA IDENTIFIED (0/1).
C) PROSTATE AND SEMINAL VESICLES, RADICAL PROSTATECTOMY:
PROSTATIC ADENOCARCINOMA
PROSTATE SIZE: 45 g, 4.1 x 4.0 x 3.6 cm
HISTOLOGIC TYPE: ACINAR ADENOCARCINOMA
HISTOLOGIC GRADE: GRADE GROUP 2 (3+4=7)
- MINOR TERTIARY PATTERN 5: NOT APPLICABLE
- PERCENTAGE OF PATTERN 4: 31-40%
INTRADUCTAL CARCINOMA: NOT IDENTIFIED
CRIBRIFORM GLANDS: PRESENT
TREATMENT EFFECT: NO KNOWN PRESURGICAL THERAPY
TUMOR QUANTITATION: APPROXIMATELY 11-20% OF PROSTATE INVOLVED BY TUMOR
GREATEST DIMENSION OF DOMINANT NODULE: 14 mm
EXTRAPROSTATIC EXTENSION: NOT IDENTIFIED
URINARY BLADDER NECK INVASION: NOT IDENTIFIED
SEMINAL VESICLE INVASION: NOT IDENTIFIED
LYMPH-VASCULAR INVASION: NOT IDENTIFIED
PERINEURAL INVASION: PRESENT
MARGINS: ALL MARGINS NEGATIVE FOR INVASIVE CARCINOMA
REGIONAL LYMPH NODES (INFORMATION FROM PARTS A AND B): ALL NODES
NEGATIVE FOR TUMOR
- NUMBER OF LYMPH NODES EXAMINED: 4
DISTANT METASTASIS: NOT APPLICABLE
PATHOLOGIC STAGE: pT2, pN0
I have an appointment with my urologist on Dec 20. He tells me he want to see what the PSA level is then to decide how to proceed. I have not consulted with an RO at this point. I very much appreciate your prayers and concern and welcome any feed back you can give be based on the information I provided here and your experience dealing with this. Thank you
Connect
Interesting how you say .07 and then later say .7, and about the benefits of getting testing. Was that a mistake since he is at .07, Or did you mean to say it differently? A PSMA pet test might not be a good idea at .07.