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After 6 years, I think I'm detectable need advice.
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Crusher10833
Regular Member
Joined : Jan 2017
Posts : 26
Posted 4/15/2023 4:14 PM (GMT 0)
Hello everyone, hope you are all well, been a few years since my least past. So as you can see from my profile I've been undetectable for close to six years now. Today I received quite a shock, my LabCorp results came back at .006. Devastated that the < is now missing. I'm completely stressed out. Where do I go from here? I assume, back to Dr. Tewari initially and see what he says?..... This is going to be tough, I'm a very high anxiety type of person I literally want to go out and get retested immediately I know I'm in for some sleepless nights. Well if anyone had any thoughts or calming advice please share.
F8
Veteran Member
Joined : Feb 2010
Posts : 5892
Posted 4/15/2023 4:20 PM (GMT 0)
get retested and remember you are a G6
Cyclone-ISU
Veteran Member
Joined : Oct 2014
Posts : 3388
Posted 4/15/2023 5:46 PM (GMT 0)
You are in the extremely low decimal range ...
Remember, anything less than .10 at Mayo Clinic is considered U-N-D-E-T-E-C-T-A-B-L-E.
You are obviously proactive and vigilant.
For most of my ten years since diagnosis, my doctors had my PSA assessed every four weeks, like clockwork. That's a lot of PSA data, without a doubt.
Within all of that, I have seen lots of fluctuations in the low decimal range.
My scores will show a slight uptick ~ and then decrease. It's happened countless times, because of the lab regimen I have followed ~ every four weeks.
In recent months, I finally "graduated" to an every eight weeks lab cycle.
It may seem like a lot to most fellows, but if you look at my original diagnosis in my health history below ~ I'm thankful to still be here.
You can certainly revisit the lab, if you wish. Every fellow I know worries anytime they see a fluctuation in PSA values. Just remember, your PSA is considered U-N-D-E-T-E-C-T-A-B-L-E.
To put your mind at ease ~ and trust me, I have been there ~ you can certainly schedule a consultation.
Nothing better than an outdoor walk to clear the clouds away, and keep the "wolves of worrisome thoughts" at bay.
Handshake, support, encouragement ~
CYCLONE ~ # Iowa State University
DjinTonic
Veteran Member
Joined : Dec 2019
Posts : 2435
Posted 4/15/2023 7:46 PM (GMT 0)
Labcorp's uPSA test does
not
return a true zero when a test solution with no PSA whatsoever is run, but rather some small, positive number that ranges up to what is called the
Limit of Blank
, which is not far below 0.006 for Labcorp's test, if I remember. There are non-prostatic tissues, like the urethra and Cowper's glands, that can produce minute amounts of PSA. Your previous <0.006 may well have been very close to that value, so that either your daily fluctuation or the imprecisions of the test assay put you right at 0.006 on the day of your last test. You should not be worried and, IMO, you do not need a retest before your next regularly scheduled test.
In addition, an independent laboratory put the Labcorp test through rigorous testing in ideal conditions. A solution with a known concentration of 0.010 ng/mL of PSA was tested 20 times. The results had a 2 standard-deviation range of 0.010 ± 0.002. In other words, if your PSA were, say, 0.005 on any given day, 98% of the time your measured result would fall in the 0.003 to 0.007 range (assuming the test could report values below 0.006, which it cannot). So you could get back a detectable result (0.006 or higher) even if your actual PSA were actually still below 0.006!
Considering (a) one's natural PSA fluctuation, (b) the inherent limits of the test method, and (c) the fact that lab conditions (sample prep and machine calibration) not always ideal,
a uPSA of 0.006 six years post-surgery is still about
as good as it gets!
Djin
Tudpock18
Forum Moderator
Joined : Sep 2008
Posts : 5611
Posted 4/15/2023 8:01 PM (GMT 0)
DjinTonic said...
A of 0.006 six years post-surgery is still about
as good as it gets!
Djin
Amen. Test again if it will make you feel better but this still looks awfully good!
Jim
Crusher10833
Regular Member
Joined : Jan 2017
Posts : 26
Posted 4/15/2023 10:19 PM (GMT 0)
To everyone who took the time to reply, I greatly appreciate it. Definitely has put my mind at ease a bit. Cyclone-ISU, still remember your response to my very first post 6 years ago while I was lying in bed still with the catheter in, a few days post prostatectomy. The information and support you guys provide here are absolutely invaluable. Hope you all know that.
Mumbo
Veteran Member
Joined : Nov 2018
Posts : 2608
Posted 4/16/2023 1:57 AM (GMT 0)
https://www.healingwell.com/community/default.aspx?f=35&m=4318840
Similar post ahead of you by a day, same concept. You may have a problem someday but that day is not now.
Wings of Eagles
Veteran Member
Joined : May 2013
Posts : 1250
Posted 4/17/2023 6:22 PM (GMT 0)
Crusher 10833,
Calm down, you are most likely still undetectable. They probably forgot to print the < sign. I am 99.99%sure but see what the DR. and a retest says. Also 99.99% of us would love to be .006.
Wings
Pratoman
Forum Moderator
Joined : Nov 2012
Posts : 9890
Posted 4/18/2023 2:16 AM (GMT 0)
Crusher, i can't add much to whats already been said, other than to summarize all the others by saying, you should be sleeping very well these days. This is a blip on the radar, if its even that.
JNF
Veteran Member
Joined : Dec 2010
Posts : 5986
Posted 4/18/2023 2:51 PM (GMT 0)
Remember there is no true zero PSA. You have a long way to go before any recognition of a PCa recurrence. You are very young for this and have to stay diligent, but not to worry about
it. Keep testing, potentially more often for a while to see if a trend develops that would indicate more investigation. Right now there is no test or scan that would find anything at your low ultra low PSA, so don’t fret.
Don’t worry, be happy…….as the song tells us.
gedman
Veteran Member
Joined : Jan 2013
Posts : 1140
Posted 4/20/2023 3:20 AM (GMT 0)
I also had surgery and have tracked every PSA test result for 10 years. The number jumps around a bit and has been as high as 0.031 and Dr Tewari still considers this undetectable.
See here:
https://www.healingwell.com/community/default.aspx?f=35&m=2730208
Todd1963
Veteran Member
Joined : Oct 2008
Posts : 3626
Posted 4/24/2023 3:24 PM (GMT 0)
Dude. chillax. No offense meant but you are being ridiculous. You lost your >. ? Really? You're a G6!! If there was anyone who ever needed to worry it wouldn't be you.
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