PSA Results giving mixed signal

4 Posts | Page(s): 1 

PSA Results giving mixed signal

by starkwood on Thu Dec 20, 2018 08:38 PM

Quote | Reply

I am an RCC (kidney cancer) patient in remission after metastasis to the left lung (right kidney removed in 2014, lung re-section in 2017).  Nothing new with that since 8/17.  January 2018 PSA exceeded 4.0 for first time.  Previous were in the 2-3 range for years.  Next one in June was 3.8.  is it worth going through the needle biopsy bit (understand it can be painful) or just monitor PSA for a while longer?  I am 71 in February and other than about 20# I need to lose am disgustingly healthy.  Open to suggestions.

RE: PSA Results giving mixed signal

by ToddlerFather on Thu Dec 20, 2018 09:42 PM

Quote | Reply

How the prostate looks in ultrasound ? The image will make for a more reasoned assessment of whether to do a needle biopsy. 

RE: PSA Results giving mixed signal

by starkwood on Thu Dec 20, 2018 11:03 PM

Quote | Reply

They have not done an ultrsound recently.  A CT was done last July and the radiologist suggested that the prostate was slightly enlarged and "irregular in surface texture"  I have had some symptoms of BPH for a couple years now but no blood or orher irregularity and no pain asso iated with it.

RE: PSA Results giving mixed signal

by genemyers on Sat Dec 22, 2018 05:02 AM

Quote | Reply

First figure out the psa doubling time. There are calculators on the internet that do this. If it is not doubling rapidly that would be the signal to wait. I would get the psa tested every 2-3 months to get a couple more data points.

Second, biopsy’s are generally not very painful and are well tolerated. I had two, and they were not a big deal. But that does not mean you should just run out and get one, they can have side effects.

Third, BHP can cause your psa to rise.

So I would get a couple of more psa tests over the next 4-6 months before deciding. If the psa jumps up into the 6-9 range, then a biopsy might be indicated.

Other options, (maybe now, or maybe later) are a multiparametric MRI or a genetic urine test called SelectMDx   http://www.pcmarkers.com/selectmdx-results   which will give you the probability that cancer would be found on biopsy. This is to give assurance there is nothing very aggressive going on while you get some more psa tests to identify the trend.

If you do get a biopsy, make sure you have some background information on what a positive result will do to you psychologically, so that you do not enter the state of mind that this is an emergency and you have to take radical action immediately, no matter what the cost. 

Gene

4 Posts | Page(s): 1 
Subscribe to this message board discussion

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