1. < Prostate Cancer

Sudden rise in PSA score

Posted by rti2 @rti2, Sep 28, 2023

I am in a bit of a panic. I had my prostate removed in 2015. Since then, here is a history of my PSA's scores, with month and year:
I don't have the records anymore from 2015 and 2016, but I know they were "undetectable"
9/2017 < .1
4/2018 < .1
10/2018 < .1
4/2019 < .1
10/2019 < .1
11/2020 < .1
8/2021 undetectable (looks like a different lab)
8/2022 0.04 (different doctor and different lab
1/ 2023 0.04

I have now changed to a new primary care physician, and I had a psa test a couple of weeks ago (I assume it is a different lab), and it says my PSA is 1.2. This is 30 times what it was 8 months ago. I am hoping this is a mistake. Is it possible that it would jump so suddenly and by this much in only 8 months?

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jc76 | @jc76 | Oct 1, 2023
In reply to @philipsnowdon "Hello, I had the “RALP” performed on 10/25/22. It was a very successful surgery. They removed..." + (show)
@philipsnowdon

Hello,
I had the “RALP” performed on 10/25/22. It was a very successful surgery. They removed 100% of any detectable cancer and my PSA has been steady at >0.014 from 10/26/22 to the current.
As I mentioned previously, the PSA and a Digital Exam are the two initial tests used to determine if further testing is warranted up until the need of a Prostate Biopsy which really tells the story about your current state of Prostate Cancer and suggests a time line for somewhat immediate treatment or “Active Surveillance and Watchful Waiting!” If you need immediate treatment then the surgical and radiation options are really the only viable choices to kill the cancer. Your number one priority is to rid yourself of the cancer. Take the amount of time you need to make the best decision for yourself and choose either option and begin your treatment, They both have the two man side effects of Incontinence and ED. The treatments are totally different but ultimately produce the same results. One of them will speak more loudly and clearly than the other and that’s the one to go with, when required, swift action is better than waiting around. Especially if that’s not a viable option for you.
Best wishes and good luck.
GODSPEED

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Thanks for information. I did not have surgery. Mainly age 76 and heart failure, so was not candidate for surgery. My cancer was limited to prostrate, and Decipher came back low risk. I went with proton radiation and did not need hormone treatments. Sound like your PSA results test are great and steady.

I am unfamiliar with "RALP" in that procedure do they remove all of prostrate or just part of it?

REPLY
philipsnowdon | @philipsnowdon | Oct 1, 2023

They remove the entire Prostate.
It’s a Radical Prostatectomy!

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