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My interesting PSA history

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Prostate Cancer
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Posted 3/23/2009 10:11 PM (GMT 0)
10/17/06 3.2
12/3/07 3.8
9/24/08 10.3
Prostatitis was discovered and treated.
10/17/08 5.2
12/08/08 4.8
was referred to Ur. for a biopsy and another psa was done
12/19/08 4.1
Found cancer.....am now waiting for Apr. 7th wen I start at Loma Linda for proton beam.
They wanted one more psa to bring with me.....got it today.

It was 3.26 go figure.
Posted 3/23/2009 10:30 PM (GMT 0)
Smilin Jack,
Did you ever get a 2nd opinion? In Gleason 6 with less than 5% and a low PSA in many cases it's insignificant cancer clusters and not a tumor. Just about everyone has these and if you are biopsied a lot they will be found.
I had the same stats. The urologist said surgery and two 2nd opinions said it wasn't a tumor only clusters that didn't warrent any treatment.
You are undertaking a rather drastic expensive treatment that will affect you for the rest of your life, and you should be sure you actually have a tumor rather than indolant PC cells. Your PSA history doesn't reflect a growing tumor.
I would recommend you get a 2nd opinion from a prostate oncologist who is more familiar with this situation that either a urologist or radiologist.
JohnT
Posted 3/23/2009 11:25 PM (GMT 0)

Jack...interesting questions and points from JT and Selmer.  FYI, and I have posted this before, here are the requirements for the active surveillance program run by Johns Hopkins:

1.  Age 60+.

2.  T1C, i.e. nothing felt on DRE.

3.  PSA density of .1 or less (this is PSA divided by size of prostate, e.g. PSA of 3 divided by prostate size of 35cc equals PSA density of .086 which is less than the .1 threshhold.

4.  Gleason 6 or less.

5.  2 or fewer cores of cancer.

6.  No core with more than 50% cancer involvment.

Based on what I read of your stats, it looks like you would qualify for their program...

Tudpock

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