What can effect PSA after PCa treatment, besides a recurrence?
|
Prev: Good News
Next: Excessive tears caused by taxotere
From: Kurt Pearson on 30 Aug 2008 16:38 Thanks to everyone for replies, I will get another PSA test in the next few weeks. Steve, here is my PCa history.... DX @ age 46 - G7 3 + 4 T3 N0 M0 psa 7/5/2003 20 9/1/2003 5.8 11/2/2003 5.2 8/21/2003 Pelvic lymph node dissection (PLND) Negative 2/9/2004 4.9 8/31/2003 Start Lupron 5/18/2004 0.2 2/18/2004 Seed Implants 8/26/2004 0.1 3/17/2004 Start EBRT 11/10/2004 -0.1 4/20/2004 End EBRT 4/5/2005 -0.1 8/18/2005 Last Lupron Shot 8/16/2005 -0.1 Last Lupron Shot 11/26/2005 -0.1 8/7/2006 T = 314 Leveled Off 2/19/2006 0.1 2 years post SI 6/6/2006 0.2 8/7/2006 0.6 11/20/2006 0.4 1/22/2007 0.5 4/28/2007 0.3 3 years post EBRT 8/20/2007 0.3 12/18/2007 0.2 4/19/2008 0.2 8/23/2008 0.4 "Alan Meyer" <ameyer2(a)yahoo.com> wrote in message news:g9c1qa$2p3$1(a)registered.motzarella.org... > Kurt Pearson wrote: >> I know a DRE, ejaculation or bike riding can alter a PSA result in a man >> before having any type of treatment for PCa, but what about after >> treatment? The reason I ask is my recent PSA result is 0.4 up from 0.2 >> which is where it has been for over a year. A few days to a week before >> I had my blood drawn for the PSA test, I was going thru some pretty bad >> bowl trouble and maybe a urinary infection. >> >> I am post 4 years Brachy and EBRT. >> >> Thanks so much to all who reply from a long time lurker. >> >> >> >> DX 07/05/2003 @ 46 > > Kurt, > > It is possible that you are in the early stage of a recurrence > of the cancer. However, your bowel and urinary troubles make > me suspect inflammation in the prostate as a likely cause - > possibly due to infection, possibly due to the other possible > causes of prostatitis. > > If I were you, I would want to watch this closely, but not > assume the worst and not begin any other treatment unless > you see a continual and sustained increase in PSA. > > Best of luck with it.
From: Kurt Pearson on 30 Aug 2008 16:51 Thanks to everyone for replies, I will get another PSA test in the next few weeks. Steve, here is my PCa history.... DX @ age 46 - G7 3 + 4 T3 N0 M0 7/5/2003 20 9/1/2003 5.8 11/2/2003 5.2 ----8/21/2003-Pelvic lymph node dissection (PLND)-Negitive 2/9/2004 4.9 ----8/31/2003-Start Lupron - 5/18/2004 0.2 ----2/18/2004-Seed Implants- 8/26/2004 0.1 ----3/17/2004-Start EBRT- 11/10/2004 0.1 ----4/20/2004-End EBRT- 4/5/2005 0.1 ----8/18/2005-Last Lupron Shot- 8/16/2005 0.1 11/26/2005 0.1 ----8/7/2006-T = 314-Leveled Off- 2/19/2006 0.1 6/6/2006 0.2 8/7/2006 0.6 11/20/2006 0.4 1/22/2007 0.5 4/28/2007 0.3 8/20/2007 0.3 12/18/2007 0.2 4/19/2008 -0.2 8/23/2008 0.4 "Alan Meyer" <ameyer2(a)yahoo.com> wrote in message news:g9c1qa$2p3$1(a)registered.motzarella.org... > Kurt Pearson wrote: >> I know a DRE, ejaculation or bike riding can alter a PSA result in a man >> before having any type of treatment for PCa, but what about after >> treatment? The reason I ask is my recent PSA result is 0.4 up from 0.2 >> which is where it has been for over a year. A few days to a week before >> I had my blood drawn for the PSA test, I was going thru some pretty bad >> bowl trouble and maybe a urinary infection. >> >> I am post 4 years Brachy and EBRT. >> >> Thanks so much to all who reply from a long time lurker. >> >> >> >> DX 07/05/2003 @ 46 > > Kurt, > > It is possible that you are in the early stage of a recurrence > of the cancer. However, your bowel and urinary troubles make > me suspect inflammation in the prostate as a likely cause - > possibly due to infection, possibly due to the other possible > causes of prostatitis. > > If I were you, I would want to watch this closely, but not > assume the worst and not begin any other treatment unless > you see a continual and sustained increase in PSA. > > Best of luck with it.
From: Steve Kramer on 1 Sep 2008 15:19 "Kurt Pearson" <kpearson_spam(a)surewest.net> wrote in message news:S_idndwE5PtRMiTVnZ2dnUVZ_gKdnZ2d(a)posted.surewest... > Thanks to everyone for replies, I will get another PSA test in the next > few weeks. > > Steve, here is my PCa history.... > DX @ age 46 - G7 3 + 4 T3 N0 M0 > The way I see it, while you were on ADT for two years, your PSA was 0.1 (was it actually < 0.1?) and you went off ADT and ever since you have been bouncing around between 0.2 and 0.6 for three years. The purpose of ADT was to starve your PCa cells while the radiation was causing them to die (apopsys). It was and added touch and may be responsible for your five-year success. However, it also kept your PSA down to 0.1 or maybe "undetectable for that assay" depending on how it was reported to you. Once you stopped ADT, your PSA went up to whatever your "normal level" now is. And, it's only varied 4/10ths of one nanogram (which is one-millionth of a gram) in three years and maybe all five. That said, it seems that peoplw whose PSA varies at or below 0.15 after brachy do better in the long run, but you are already into the long run and you're doing fine. Obviously, since it is hovering above 0.2, you will have to keep an eye on it every quarter to half year, but I would not worry about it right now. -- PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05, <0.04, <0.04, <0.1 2/12/08 Illegitimati non carborundum
From: Kurt Pearson on 1 Sep 2008 19:21
Steve, Thanks so much for the positive comments. Your thoughts on my PSA levels, have done wonders for my current anxiety level. Some might say, hey it's just a .2 rise, but to me it was like being told for the first time; that I had this monster. Thanks again and to everyone else. -Kurt "Steve Kramer" <skramer(a)cinci.rr.com> wrote in message news:g9hf8q$mas$1(a)registered.motzarella.org... > "Kurt Pearson" <kpearson_spam(a)surewest.net> wrote in message > news:S_idndwE5PtRMiTVnZ2dnUVZ_gKdnZ2d(a)posted.surewest... >> Thanks to everyone for replies, I will get another PSA test in the next >> few weeks. >> >> Steve, here is my PCa history.... >> DX @ age 46 - G7 3 + 4 T3 N0 M0 >> > > The way I see it, while you were on ADT for two years, your PSA was 0.1 > (was it actually < 0.1?) and you went off ADT and ever since you have been > bouncing around between 0.2 and 0.6 for three years. The purpose of ADT > was to starve your PCa cells while the radiation was causing them to die > (apopsys). It was and added touch and may be responsible for your > five-year success. However, it also kept your PSA down to 0.1 or maybe > "undetectable for that assay" depending on how it was reported to you. > Once you stopped ADT, your PSA went up to whatever your "normal level" now > is. And, it's only varied 4/10ths of one nanogram (which is one-millionth > of a gram) in three years and maybe all five. > > That said, it seems that peoplw whose PSA varies at or below 0.15 after > brachy do better in the long run, but you are already into the long run > and you're doing fine. > > Obviously, since it is hovering above 0.2, you will have to keep an eye on > it every quarter to half year, but I would not worry about it right now. > > > > -- > PSA 16 10/17/2000 @ 46 > Biopsy 11/01/2000 G7 (3+4), T2c > RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins > PSA <.1 <.1 <.1 .27 .37 .75 PSAD 0.19 years > EBRT 05-07/2002 @ 47 > PSA .34 .22 .15 .21 .32 PSAD .056 years > Lupron 07/03 (1 mo) 8/03 and every 4 months there after > PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years > Casodex added daily 07/06 > PSA <0.04, <0.05, <0.04, <0.04, <0.1 2/12/08 > Illegitimati non carborundum > |