CancerCompass message board discussion started by DARDANELLE on 1/10/2008 http://www.cancercompass.com/message-board/message/all,19593,0.htm Wed, 15 Oct 2008 00:00:00 GMT Wed, 15 Oct 2008 00:00:00 GMT http://backend.userland.com/rss RSS.NET: http://www.rssdotnet.com/ 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+3Anyone can offer any direction or information will be wonderful. DARDANELLE Thu, 10 Jan 2008 00:00:00 GMT excuse me I have posted my PSA after surgery numbers wrongshould be PSA .84ng/ml  DARDANELLE Thu, 10 Jan 2008 00:00:00 GMT 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. Thoosier Fri, 11 Jan 2008 00:00:00 GMT 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 Kenny Bouy Fri, 11 Jan 2008 00:00:00 GMT 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. needhelp Sat, 12 Jan 2008 00:00:00 GMT 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/mlWould 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. DARDANELLE Sun, 13 Jan 2008 00:00:00 GMT Could you explain the reason for your comment re: "no coffee oe sex 48 hours before the (psa) test." ThanksOn 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.  Berts356 Sun, 20 Jan 2008 00:00:00 GMT