Very high PSA level at first diagnoses

6 Posts | Page(s): 1 

Very high PSA level at first diagnoses

by kiki5 on Fri Jul 20, 2007 12:00 AM

Quote | Reply

My dad has just been diagnosed with prostate cancer and my parents are being very sparing with information. Apparantly he was given 2 scores, one of over 50 and one of over 1,000 (not sure if they would both be PSA scores?). They are starting hormone therapy and not bothering to give him a biopsy or any scans. From what I've read I am presuming that it has already spread, but trying to get a grip on what his life expectancy may be.

Any guidance appreciated - i'm currently living abroad and now making plans to come home in the next few months but wondering if i should expediate this.

RE: Very high PSA level at first diagnoses

by Johnw100 on Fri Jul 20, 2007 12:00 AM

Quote | Reply

You need to look at dates and numbers of the PSA readings to gauge the situation.

No one knows  in advance how effective hormone treatment will be: it is possible for it to reduce PSA levels to very low readings within the first 3 months and remain low for an extended time. In other instances it does not work as well, or becomes less effective.

A friend who started hormone treatment 18 months ago tolerated it well,  he's currently travelling in Europe, and still plays golf . His PSA is 1.

For more information on hormone treatment,  there are other previous posts here, you can also look at mentors experiences at the yananow site, or read Dr Myers publication.

John

RE: Very high PSA level at first diagnoses

by Island on Sat Jul 21, 2007 12:00 AM

Quote | Reply

Oh I am Mrs. Chaco again...jusat excuse the way I write. I write lkie I am talking tomyou in person. I ahve no time to edit my grammar. Thank you for your consideration.

 

Mrs. Chaco

RE: Very high PSA level at first diagnoses

by Kenny_Bouy on Sat Jul 21, 2007 12:00 AM

Quote | Reply
Over 50 or 1,000? Likely spread and, under the circumstances, immediate hormone treatment is required at minimum. Outside life remaining, maybe 5 years....not being coy, ...been there, done that,....and every 3 mo. waiting for  my psa is like being in the chair waiting for a "stay call" from the govenors office. I actually use a <24 hr. service so I don't have to wait days for my regular provider to contact me with results....nerve racking...good luck

RE: Very high PSA level at first diagnoses

by Witchdoctor on Sat Jul 21, 2007 12:00 AM

Quote | Reply

I believe he needs to be staged and have at minimum a biopsy.

Reasons;

PSA is not a quantitative measure of tumor.  The amount, if any at all, differs from cancer to cancer.  Hence, you can have a relatively small amount of tumor either local or locoregional and a high PSA and/or a low PSA with distant mets.  So it is worth establishing upfront the extent of the tumor since , for instance ,if it is just in the prostate and LN's it is possible to cure, or , some believe if you can cover the active sites of disease easily it my prolong the remission.

Gleason is important to establish the aggressiveness of the tumor and if metatstatic and high grade, may make the patient a candidatee for Chemo / hormonal therapy. (investigational) to try to treat the sensitive and resistant clone concurrently.

Staging can also identify potential problem areas that need to be addressed. ie impending fracture of bone or bloickage.

So ,even if widespread, it is of value to know what you are dealing with upfront and could effect treatment now or in the future.

RE: Very high PSA level at first diagnoses

by kiki5 on Sat Jul 21, 2007 12:00 AM

Quote | Reply
Thank you all for your help, much appreciated.
6 Posts | Page(s): 1 
Subscribe to this message board discussion

Latest Messages

View More

CancerCompass Survey

If you were considering traveling for cancer treatment, which headline would you find more interesting?

Get $75 for taking a research survey

We care about your feedback. Let us know how we can improve your CancerCompass experience.