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PSA is .4 ng/ mL 3 years after prostectomy
Prostate Cancer | Last Active: Dec 30, 2024 | Replies (29)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
Hi James,
I had another PSA on Dec 20 that came back at .54. My Urologist then ordered a PSMA PET Scan. It uncovered a lesion 8mm X 11mm on my sternum. Just had appointment with my Radiation Oncologist today. Maybe I had my head in the sand, but it really threw me when he told me that the is Stage 4 bone cancer. This is not curable, but treatable. He tells me that the goal is to not die from bone cancer, but with it. I want not expecting that. Big kick in the gut. I'm coming to terms with it. He tells me that this could go on not 20 years, but likely 15. (I'm 67). He is sending me to a medical oncologist for ADT to get goin on that and will do radiation 60 days after starting on ADT. I'm working hard to come to terms with my own mortality. I'm worried about managing the side effects of ADT. Are people living well on ADT? Feel like I am rambling. I would welcome any suggestions on resources to cope. Thanks
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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.