IN GENERAL, statistically, with surgery, about 50% of all recurrence's occur before 2 to 3 years following treatment. This figure goes to about 80% by 5 years and the vast majority of the remaining,...
Hi BenSam, - Congratulations on making a choice of treatment, it should provide great relief compared to previous indecision. Understand that there is no guaranteed right or wrong answer in making...
Hi rpw, - It all depends on the results you receive. You are attempting to put things into nice little isolated boxes that can, individually, magically resolve your diagnostic dilemma, but it is not...
Hi rpw612, - Here are some clarifications for you: 1) YOU POST: "Psa from Jan.2014=3.5-Oct. 2014=8.3." MY RESPONSE: Your signature contains your RANGE of PSA results, but not the individual Total...
By az4peaks · Today at 11:27 am · 0 replies In In the news 0 Recommend Stop following More options Shared with the public Important Information for Medicare Patients To All, - Here are some important...
Hi Pavel, - Whether your Father should change his Medical Oncologist, which I assume his attending Physician is, depends on how comfortable your Father is with his care, but shouldn't, in my layman's...
Hi hrpufnstuf, - I think you MAY be misunderstanding what was meant. I believe that, probably, the PA meant to convey to you that the Cipro is not an effective antidote against whatever it is that is...
Hi Again Eaglekeeper, - To again try to simplify the answer to your original question, as much as possible, the sites that specify "clinical diagnosis" do so to clarify which result, p or c, are the...
Hi Eaglekeeper, - Since you are fortunate enough to have a "Pathologic" Pathology Report you have the benefit of a far more accurate account of the TRUE status of your Cancer than do those men who do...
Hi waleygator, - No, riding a bike should have no effect on PSA readings in a man whose Prostate has been completely removed by radical surgery. Let me suggest that you ask for printed copies of your...
Hi Hummbug, - I was not aware that his headache was only while standing, when I suggested the POSSIBILITY of drug reaction. An allergic reaction would normally remain present regardless of body...
Hi Melaine, - You must remember that relatively few men have Prostate Cancer (PCa) diagnosed at the age of 50. As a result, much of the available statistical information is heavily influenced by...
Hi Yank, - I need some clarification. In your Post and Signature you indicate that your post-surgery PSA tests have been 0.1, 0.1 and 0.2 but since you you use the "greater than" icon (>) as a...
Hi Hummbug, - Did you start any new medications immediately prior to initiation of the headaches? Without evidence of other causes it MAY be an allergic reaction to a new medication or a drug...
Hi Craig, - Perfectly reasonable! In fact he has been more conservative than many would have been with your low-end medium risk numbers, so you should feel quite comfortable in doing so. -...
Hi Phil, - Let me try to explain why it only needs to show a Free Testosterone on the order. A Free Testosterone test, is usually reported as a % of the Total Testosterone. It, therefore, must be run...
Hi Ronnie, - To try to clarify the confusion surrounding your understanding of the post-surgery Pathology Report, let me talk directly to that point. The Pathology Report is the Pathologists dictated...
Hi Worried Daughter, - Let me reassure you about your questions regarding your Dad. First let me tell you that it is VERY likely that your Dad's Prostate is doing exceptionally well for a man that is...
Hi Bob, - Good for you! In my opinion, when distinguished experts from 2 or more different, and in some ways competing, Medical Specialty Organizations can collaborate in creating a consensus...
AUA/ASTRO Guidance for those considering Radiation after Prostatectomy To ALL, - Back in May of last year (2013), a COMBINED committee appointed by the AUA (American Urological Association) and ASTRO...
Hi Jenny, - With a HIGHLY elevated PSA of 447, it is ALMOST certain that your husband has PCa and the MRI evidently showed likely lymph node involvement sufficient to suggest metastatic spread to the...
Hi cjc84, - Realistically, it certainly APPEARS that your friend is continuing to deteriorate in spite of treatment. It MAY be time to consider entrance into a Hospice program, depending upon his...
Hi worried daughter 14, - Sorry about your Dad's situation and your concern. Following is an article I wrote about what newly diagnosed men need to find out to establish a basic understanding of...
HDRIDER QUOTE: "I've also read (here on this forum), that cancerous prostate cells can give off much more PSA than benign normal cells relative to their volume. Benign cells give off .66 PSA per cc...
Hi Logo, - It depends on what is interpreted to be "low" PSA. Such general terms can mean different levels to different people, often depending on their relative situation. The most often quoted...
Hi woodyvt, - You ask: "now i say why couldn't the cancer have gone from Lymp to prostate instead, any thoughts??? My response: Because Prostate Cancer (PCa) ORIGINATES in the Prostate. If malignancy...
Hi Akai, - "Focal" generally means one site (localized) and "atrophy" identifies a wasting away or losing normal appearance or function. It may well be what triggered the diagnosis of Chronic...
To ALL interested, TECHNICALLY, there is no such thing as a "real" zero. Each and every PSA assay (test) has a known limitation to it's sensitivity, below which readings are not reliable. This...
TECHNICALLY, there is no such thing as a "real" zero. Each and every PSA assay (test) has a known limitation to it's sensitivity, below which readings are not reliable. This reliability threshold...
Hi mycrooner, - Certainly, the PSA readings are worrisome, but to specifically answer your question, yes it is possible to have a reading close to 20 ng/ml without Cancer being the cause. That said,...
Hi Logo, - I must have the best of both worlds. I think about copulating! -(;-) - [email protected] (aka) az4peaks...
Havanon, - Technically, you have a clinically "undetectable" PSA, LESS THAN 0.1 ng/ml (<0.1), which has long been the established clinical threshold for the use of the definition. If you want to be...
Hi English Roger, (others may wish to note his name for clues as to his residence) First: HIPAA is an American law and doesn't effect England. Second: In fairness to the Doctor involved, according to...
Hi cvc, - You may well be correct in your own analysis when YOU say, "im a wacko :)", only kidding! You obviously enjoy worrying or you wouldn't be getting your Screening PSA's done with a...
Hi misty, - At 8 weeks after RP, it would normally be expected that the PSA would be be "undetectable", which is, most often, clinically defined as LESS THAN 0.1 (<0.1 ng/ml). If the next one is not...
The single digit Free PSA is worrisome, although the negative Biopsy is certainly encouraging. Do you have a copy of the Biopsy Pathology Report, what does it say about any findings of ASAP or High...
Hi an, - That is certainly the patient's choice prerogative! The date of publication of the JH article was clearly stated at the top of the article posted.. To clear-up the question of whether the...
Hi An38, - Is there some particular reason that Paul is having a Hyper- or Ultra-sensitive PSA assay used in his PSA monitoring? Unless it can add USEFUL information to your care, what does it really...
Hi Jim R., - YOU ASKED: "The current question I have is 'What are the implications of a high % of cancer found in a core?' I've got a 60% and a 70% as you can see from my signature. Intuitively you...
To All, - Why in the world do you particularly want a Hyper- or Ultra-sensitive PSA assay used in your PSA monitoring, unless it can add USEFUL information to your care? In ROUTINE post-treatment...
To ALL, To answer the original question proffered in the initial Post, PRIOR to the PSA "era" (roughly from 1990 to now), when the digital rectal exam (DRE) was practically the exclusive form of...
FYI, - I read one report that indicated it was throat Cancer in Hoffman's case, but I have no confirmation at this time. For what it is worth.- [email protected] (aka) az4peaks...
Hi OMR, - "Focal" means that the specific positive margin is singular and appears in only that one spot. "In area of the capsular incision" further defines (narrows) the location of the positive...
Hi Serenity, - There is no way to know, with certainty, until more PSA results have been recorded. BUT, It is quite possible, in fact likely, that the readings you cite are reflecting the same...
Hi David, - There really is no such thing as a detectable PSA of “0” in PSA readings, although the term “zero” is often carelessly used when reporting such results. PSA results are ALWAYS limited by...
HI greg, - I am sure there are many in the New York area are two that are widely recognized as VERY qualified Urologic Surgeons, Peter Scardino, MD and James Eastham, MD. both of whom are at Memorial...
Hi Julie, - Statistically, the PSA "bounce" phenomena occurs in about one third of men treated with radiation and if it occurs, USUALLY happens between 1 to 2 years following treatment (18 months on...
Hi BOOGEE, - You ask: "So to sum this question up: If spine is radiated and pelvis radiated could the cancer not spread anymore through the lymph system???" My Response; The answer is, that active...
Hi Carlos - As I understand it, Provenge is a Medicare part B covered drug and therefore subject to the 20% co-pay by the patient. As you describe, Medicare will be the Primary and the Private plan...
To ALL, - Although it is true that a number of procedures and drugs coverage is decided on a regional basis by the individual organizations that are contracted to reimburse Providers on behalf of...