Lost the less than sign in PSA indicator of <0.04

Posted by jl99 @jl99, May 31 10:09am

Hello All, I’ve been following for a year now, and really appreciate everyone’s input and honesty. I had my RALP 4/25. PSA 28.1, biopsy 5/12 cores 3+3=6. I opted for surgery due to cores being 100%, 95, 92, 90 and 35. Negatives from post surgery pathology were, upgraded to 3+4=7, less then 5% 4, two positive margins and focal EPE.
Surgery done at MN Urology Minneapolis. Also getting 2nd opinion at Mayo Rochester. Went to Mayo for 6 wk PSA, undetectable <.10, next three done at MN Urology <.04. The last one done was at .04 so I lost the less then sign. Will be going for another in mid June. Significance of dropping the less then sign? Urologist wasn’t too worried at this point.

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Profile picture for joegor @joegor

@dpayton Just speaking from my own experience with LabCorp, when we initially started tracking PSA they would report to one decimal place. When I saw others talking about more precise numbers I asked my doctor about it and they started using ultrasensitive on my scripts. From then on I got my numbers reported to 3 places.

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@joegor and @jeffmarc

I stand corrected! 🙂 What's new! haha I spoke to a friend of mine who's a lab manager at PSU healthcare. While it does depend on the equipment, nearly all labs offer both results. Personally I don't know why they just don't go out as far as the equipment allows and call it good!?

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Profile picture for dpayton @dpayton

@joegor and @jeffmarc

I stand corrected! 🙂 What's new! haha I spoke to a friend of mine who's a lab manager at PSU healthcare. While it does depend on the equipment, nearly all labs offer both results. Personally I don't know why they just don't go out as far as the equipment allows and call it good!?

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@dpayton Totally agree. But then again why make things any easier for the patient. It's not as if we don't already have enough on our plates.

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I will be getting my first 6 week PSA test on June 10 and finely figured out it is just a normal PSA test that they want to be <.1
I thought after having prostate removed they always did a uPSA, but they said no. I am told their lab can do uPSA, don't know why they don't. Then the oncologist listed out 2 different organizations, I forget the names, but one wanted reading to be < .1 and the other < .2. Seems a big difference, but maybe it has something to do with being at 6 week mark?
These were the 2 organizations I was quoted 0.1 ng/mL per NCCN and 0.2 per AUA

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