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My first PSA test after surgery
Prostate Cancer | Last Active: 1 day ago | Replies (27)Comment receiving replies
@rhilbert0 wrote "At Mayo, anything less than .1 is called undetectable. You shouldn't get tests more sensitive than that"
This is poor advice as a blanket statement. There are many reasons why many men should be getting ultrasensitive PSA tests after RP. If you're happy with the standard test that reads down to 0.1, that's great for you. And I understand that Mayo has that as a default for resource optimization and public health reasons. But men with higher-risk pathology and higher risk for recurrence should talk with their doctors and strongly consider uPSA that reads down to 0.02 at minimum, to have earlier visibility into a rising PSA trend.
Replies to "@rhilbert0 wrote "At Mayo, anything less than .1 is called undetectable. You shouldn't get tests more..."
@notpetecrowarmstrong
Just to add, I imagine that first post surgery PSA helps the physician’s make that call.
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@notpetecrowarmstrong
I don’t know what resource optimization is but I imagine public health reasons is so as not to instill unnecessary, uncertainty, stress and anxiety in patients as people with cancer are naturally going to have alot of those and don’t need more of it. You are right about the blanket statement you shouldn’t get tests more sensitive than under .1, just as the opposite blanket statement is also poor advice that all patients need to have ultra sensitive tests. Your premise is correct that their are many reasons to get one and I would imagine renown Mayo Physicians know when to make that call to order regarding those patients and the other reasons usually tied to aggressiveness or contributing factors making it aggressive.