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Re: Non-zero PSA 2 years after surgery

Hi David.

As Terry advises, stay cool! One reading does not mean it's coming back. I have been going through psa anxiety myself over the last year. I have the ultra sensitive tests and have discussed them on this previous thread:
http://pub2.bravenet.com/forum/static/show.php?usernum=154144579&frmid=42&msgid=831296&cmd=show

I had surgery two years ago also, and about a year ago my numbers, albeit minutely, started rising and falling and rising again. Currently they are back to undetectable- go figure. My doc told me he usually likes to see three consecutive rises, before he considers salvage therapy, and then has a threshold of .3 before he'll pull the trigger. In a recent article in PCRI Insights, there has been several recent studies which show excellent long remissions from salvage therapy after RP provided the treatment is started at low psa levels. The article is here:
http://www.prostate-cancer.org/pcricms/sites/default/files/PDFs/Is13-2_p8-17.pdf

My doc advocates the ultra sensitive test because it can show a more accurate measure of velocity if the psa starts to rise. There again, he says its like weighing feathers!

Good luck with your doc, and regards.

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