Prostate Cancer Survivors

 

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When is PSA post op a concern?

I had a LRP on 1/2/2008.

First few PSAs taken after the surgery were less than 0.04 which was the lowest the lab would report.

In September 2009 PSA came in at 0.06 which was confirmed on a second test a week later. At a different lab I had a 3rd test which came in at less than 0.1 (the lowest they report.) All tests were prescribed by my GP.

The surgeon says my numbers are very good and not to worry. He also says to avoid the so-call super sensitive tests. My GP says that he talked to several local urologists and they said that they did not concern themselves below 0.1 as it could be "noise." GP had his lab change and no longer reports psa below 0.1.

In December 2009 and it came it at less than 0.1.

Gave blood today for another test. Will find out on Monday.

Should I be worried? What would cause the 0.06?

Has anyone had a 0.6 20 months after surgery and never had further problems?

Thanks.

Re: When is PSA post op a concern?

Richard,

There is a write-up on the site at ULTRA SENSITIVE TESTS whihch may help you understand where your doctor is coming from.

There have also been a number of discussions on this Forum about PSA levels after surgery - if you use the Search Engine above you will be able to find them, but here's one for starters Explanation for nondecrease in PSA despite prostatectomy?

All the best

Terry in Australia

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