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Subject:   Re: Explanation for nondecrease in PSA despite prostatectomy?
Name:   Terry Herbert
Date Posted:   Nov 17, 07 - 7:15 AM
Email:   yananow@optusnet.com.au
Message:   Ted,

That’s fascinating stuff – for us as observers, but probably not so much for you. I have had some very odd medical issues to deal with in the last year (not apparently prostate cancer related) and one of the medical men I consulted said “You don’t want to be a medical mystery, you know. We don’t know what to do with you then!” it certainly seems that you fall into that category.

I must say, that from what you have said here, the view of our good doctor that a bit of left over gland is what is causing the problem makes a deal of sense. Although I would also share with you the puzzlement as to why the PSA is the same before and after the surgery when the tumour has been removed. But then it was a very small tumour and one wonders if it was generating much PSA or whether the pre-op PSA was coming from the enlarged gland – even after the TURP it was double a normal gland in size.

Have you ever done any of those calculations which attempt to estimate the PSA generated by an enlarged gland. It might be interesting to see what the estimated tumour related PSA was. There is one of the calculators available here http://www.prostate-cancer.org/tools/software/tumorvol.html

Please let us know how things go.
Replies:    
Re: Explanation for nondecrease in PSA despite prostatectomy? by Terry Herbert · Dec 5, 07 - 4:46 AM
Re: Explanation for nondecrease in PSA despite prostatectomy? by Ted Coxhead · Feb 29, 08 - 10:04 AM


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