Post prostatectomy: What do rising PSA levels mean?

Posted by hoard @hoard, Sep 10, 2019

New to group! Wish I had checked this out 2 years ago while supporting my husband! Now over e years post prostatectomy, wondering what might make psa go from all 0 to 2.6…

@ozment

93 years old, radical in 1992 PSA 90's, CT, Bone and Pet show no detectable metastasis. What could be going on?

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If I were to guess, he had his prostate removed in 1992, his PSA is now in the 90's while his CT scan, bone scan and PET scan came back clear of cancer.

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Radical proctocolectomy 1992, PSA slowly increasing in last 15 years, now mid 90's. Cat scan, bone scan and pet scan negative. Has anyone else experienced similar results. I would like to know what is going on.

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93 years old, radical in 1992 PSA 90's, CT, Bone and Pet show no detectable metastasis. What could be going on?

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@ozment

Radical proctocolectomy 1992, PSA slowly increasing in last 15 years, now mid 90's. Cat scan, bone scan and pet scan negative. Has anyone else experienced similar results. I would like to know what is going on.

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Hi @ozment, you'll notice that I moved your messages to this existing discussion called "Post prostatectomy: What do rising PSA levels mean?" (https://connect.mayoclinic.org/discussion/post-prostatectomy/) Click VIEW & REPLY to read through the past comments.

You said that you had a proctocolectomy, the surgical removal of the colon and rectum. Were you also diagnosed with prostate cancer?

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@johnbishop

Hello @ira817, Welcome to Mayo Clinic Connect. I found the following information on the Cancer.gov site that may be helpful explaining the PSA numbers.

"In the past, most doctors considered PSA levels of 4.0 ng/mL and lower as normal. Therefore, if a man had a PSA level above 4.0 ng/mL, doctors would often recommend a prostate biopsy to determine whether prostate cancer was present.Oct 4, 2017"
– Prostate-Specific Antigen (PSA) Test – National Cancer Institute: https://www.cancer.gov/types/prostate/psa-fact-sheet

Have you discussed the latest PSA test results of 0.56 with your doctor?

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Yes. He wants me to do a pet scan just to be sure there is no reoccurrence

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@colleenyoung

Hi @ozment, you'll notice that I moved your messages to this existing discussion called "Post prostatectomy: What do rising PSA levels mean?" (https://connect.mayoclinic.org/discussion/post-prostatectomy/) Click VIEW & REPLY to read through the past comments.

You said that you had a proctocolectomy, the surgical removal of the colon and rectum. Were you also diagnosed with prostate cancer?

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Collen guess I did not do spell check properly, radical prostatectomy not proctocolectomy,

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@hoard

Thank you! Relieves my mind somewhat! Next PSA in November….. long wait.

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If it were me I would be taking a PSA test every 3 months min. Push your Dr waiting a year is too long.

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2 ys After Prostatectomy and now my psa is rising?

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@jnotez

2 ys After Prostatectomy and now my psa is rising?

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Welcome @jnotez to the prostate cancer group. Seeing PSA levels rising can also raise the anxiety levels. I hope you were able to link to some of the articles and information posted in this discussion that explain the variety of reasons that PSA levels may rise.

@ozment @dandl48 @hoard @horace1818 @oumike @itterac will also share their experiences with PSA monitoring.

JNotez, did you have any further treatment after your prostatectomy 2 years ago? What does your oncologist say about your PSA results? Have you had further testing?

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@colleenyoung

Welcome @jnotez to the prostate cancer group. Seeing PSA levels rising can also raise the anxiety levels. I hope you were able to link to some of the articles and information posted in this discussion that explain the variety of reasons that PSA levels may rise.

@ozment @dandl48 @hoard @horace1818 @oumike @itterac will also share their experiences with PSA monitoring.

JNotez, did you have any further treatment after your prostatectomy 2 years ago? What does your oncologist say about your PSA results? Have you had further testing?

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I have an appointment Monday with my oncologist to see what needs to take place..

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@jnotez

I have an appointment Monday with my oncologist to see what needs to take place..

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@jnotez, great. I'll be interested to hear what you learn from your oncologist, and what you decide as next steps.

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@jnotez

2 ys After Prostatectomy and now my psa is rising?

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Hello, I am new here. My husband had Prostatectomy 2 years ago. PSA was 0.01 until last week we found out it is 0.3. I am scared. His doctor said it is still consider undetectable, but he'd rather see it 0.1. He said we have to wait for another 6 months to do another PSA test. Please let me know if you have any update on your case.

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