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Subject: PSA
Date: 01/10/2008

I have surgery 2 months ago. Cancerous Prostate removed by the Devinci Robtic.

I have a PSA reading of .84mm. after the surgery.

Is this a concern or normal reading.

I have been researching online with very little luck.

My gleason grade was 4+3

Anyone can offer any direction or information will be wonderful.

Subject: RE: PSA
Date: 01/10/2008

excuse me I have posted my PSA after surgery numbers wrong

should be PSA .84ng/ml

 

Subject: RE: PSA
Date: 01/11/2008

Dardanelle:

The situation you refer to is a troubling one, as I am certain you are well aware. I hope you have a copy of the pathology report from after surgery. This is packed with information which may point you to an answer. Without that information everything is conjecture. What did your surgeon say after his work? What does he say now?

It is possible that surgery does not remove all prostate tissue and some active, normal cells remain afterwards and this could be the cause of the psa. This is a benign condition. It is also possible that some residual cancer remains and will soon die as the effects of the surgery damage the blood supply for these cancerous cells and they too will soon diminish, along with a coincident drop in psa. This is a less likely combination of factors. The lab reading could be in error. Other men have posted experiences of such errors.

The pathology report and your surgeons comments or operating notes in your medical file should point to some explanation of this result. In any case, only more time can answer this question successfully. Prostate cancer exhibits psa which, over time, is a clear indication of the direction of the disease. As difficult as it is to allow time to pass, anxiety will change nothing. Subsequent psa tests will tell a fuller story, unless the path report and surgeon report makes clear where your situation lies. Your answers will come from your medical team. No one here, or elsewhere on the internet can successfully diagnose your situation.

Subject: RE: PSA
Date: 01/11/2008
Trust but verify...you may want to get an independent lab for a double check...don't necessarily convey to your caregivers, they may get defensive, piece of mind...usually you can obtain overnite via fax for about $45, depending where you are located...best wishes
Subject: RE: PSA
Date: 01/12/2008
Its best to use the same lab routinely for followup PSA Blood Tests.Best repeat it again and no coffee or sex 48 hours before the test.
Subject: RE: PSA
Date: 01/13/2008

Great information, Thanks!

How does the scale run on PSA after surgery so I can understand.

Is there a table to compare PSA numbers and risk.PSA .84ng/ml

Would this consider a highPSA after prostectomy?

The doctors nurse just called up and delivered the test result number.

I will update on my next PSA mis-Feb., I am using the same lab forthe PSA but may pay to also have the test sent to an additonal lab to compare results.

Subject: RE: PSA, no coffee or sex 48 hours before
Date: 01/20/2008

Could you explain the reason for your comment re: "no coffee oe sex 48 hours before the (psa) test."

 Thanks

On 1/12/2008 needhelp wrote:

Its best to use the same lab routinely for followup PSA Blood Tests.Best repeat it again and no coffee or sex 48 hours before the test.

 

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