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PSA Level Prior To Procedure
So I’m at MD Anderson…scheduled to have a Space Oar procedure in the morning so bunch of bloodwork completed today.
PSA over the last year has fluctuated…..year ago was 3.5…went to 4.7 which culminated in MRI and then immediately prior to biopsy back down to 3.5 again. Today’s PSA at MD Anderson was 5.7 so a huge jump in 5 months. I did work out at Orange Theory 3 hours prior to the draw and did a fair amount of aggressive rowing and ran 2 miles.
Prostate is large (MDA measured at 85 cc). Favorable intermediate with 3 (3+4) spots….two at 10% AND one at 5%. Decipher of .49 so low intermediate.
Should the spike concern me or at this point is it a non issue? Scheduled for SBRT first week of August. At this point I don’t really know what I should worry about or not…….!!
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I don’t know think that jump would change anything at this point regarding your treatment. Good luck tomorrow
The PET scan you are getting is probably the best thing you can do to find out what’s going on. Don’t worry about having to wait until August you have plenty of time?.
You have a very mild case of prostate cancer, I suppose the decipher is high enough that it explains why you are having radiation soon.
A big rise in PSA is concerning, But prostate cancer is very slow growing, and you are getting treatment soon, so you are set, you have it under control.
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1 Reaction@jeffmarc
Per Scan came back all clear …..thankfully
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3 ReactionsYou might want to carry a hospital plastic bottle to pee in depending on the number of Radiation sessions that you are having as there may be a desire to pee but for a short time, you may need to pee before you get to the bathroom.
You also may want to get a prescription ahead of time for Flomax in case at first your urine flow is restricted.
Just a friendly reminder, that it takes time for your PSA to come down to the point where it is at its lowest, or Nadir. You can expect some level of apprehension each time you have a blood test to check your PSA. Also, your PSA will be affected by orgasms and certain levels and types of exercise.
In my opinion, it is good to know the age of the person because it has to do with prostate treatment.
PSA can be tricky, in 2015 I was 68 and a PSA at that age is 4.00 as normal, many doctors don't think of surgery until it rises to more than 6.00 unless a biopsy shows cancer.
My PSA was always below 4.00 but, because of a rectal examen, a biopsy was performed and it came positive. The day of the surgery my PSA was 3.70. I guess every case and individual is different.
@amota
Around 10% of people do not produce PSA when they have prostate cancer. You may be in that group. If so, then a PSA test after you are treated may be of no use. A CT scan comparing the previous one or a PSMA pet scan may be necessary to find out if you actually have reoccurrence.
Just something to be aware of.