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Psa Change Question

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Subject: PSA Change question
Date: 03/09/2008
I have surgery several months ago. Cancerous Prostate removed by the Devinci Robtic on November 27, 2007.

 PSA test method using Beckman Acess II Immoassay system and Total PSA reagents:  

I had a PSA reading of .84ng/mL 12/31/07.  Testosterone 128ng/dL( 1st post surgery test)

I had a PSA reading of .46ng/mL 02/08/08. ( 2nd post surgery test)

I have an appointment with my surgeon again on 03/31/08. I will have again, another PSA test at this time.

What questions should I ask my doctor?

I am 61 years young. 

My Gleason grade was 3+4 after the prostate was removed and biopsied.

PATHOLOGY REPORTED BELOW:

Prostate gland, radical prostatectomy: Prostate adenocrcinoma.7/> T2bNXM. (? Do Not know what this means?) The tumor focally involves both lobes of the prostate tissue. Foci of perineural involvement identified. No lymphatic space or vascular space involvement seen. The tumor involves the left apex margin. The non-neoplastic prostate tissue semonstrates foci of high-grade prostate intraepithelial neoplasia and glandular hyperplasia. The seminal vesicles are free of tumor. The bladder base margin is free of tumor.

Anyone can offer any direction or information will be wonderful.

SHOOT YOUR CONCERNS TO ME STRAIGHT, I AM IN NEED OF AS MUCH INFORMATION AS YOU CAN OFFER.

WOULD YOU HAVE CONCERN IF THESE WERE YOUR PSA RESULTS?

THANKS SO MUCH FOR THE WONDERFUL INFORMATION YOU PROVIDE ON THE MESSAGE BOARDS. -JIM FROM DARDANELLE, AR

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