Typically the doctor does not stop in too often. So it might be a month or so before he responds.
Not to put words in the doctors mouth, but it seems that the question is not if PC, but rather if it is low grade or high grade.
Had a ck up in Jan of 2012 an psa was 10.8 an all lab work showed no disease!
Other than the biopsy there is no good test to detect PC. There are several emergent test that look at the blood and/or urine for certain indicators of PC, but AFAIK none of them are ready for use for routine testing.
And while there are ways to image PC that has spread. Imaging PC in the prostrate is very limited. There are a few specialized MRI's that can detect them. But they are not common and I don't know how accurate they are.
Ultra sound is also used. Again I am not sure of the details, but I only think that they will find the larger masses.
The Doc. that did the Sec. biopsy didn't do a psa ck an now said that I have to wait for 3 mo.'s after the bispsy to ck it.
Basically PSA only indicates pressure or irritation of the prostate. An infection, bike ridding, a biopsy, and even having sex before the PSA can cause a false increase.
Was the when you had the first biopsy was the PSA taken before or afterwards?
You can get the slides from the first biopsy reviewed at John Hopkins and maybe Sloan Kettering to see if the assessment of the Gleeson was right.
You might also want to get a 2nd opinion from a local medical school or cancer "institute".
If it is high grade often several treatments are used at once or in sequence. Surgery radiation, multiple radiation (seeds and external), radiation hormone.
Personally, if I had or suspected high grade PC, they I would opt for surgery.
The advantage with surgery they can test the whole prostate and get a much more accurate determination of the grade and amount of PC. Also they can tell if the margins are free of PC and check the lymph nodes.
The study showed a relationship between high levels of omega 3's in the blood and prostate cancer.
At the present time it is not know if an increase in the consumption of omega 3's leads to increase PC.
For example there could be something in PC that cause the body to maintain higher levels of omega 3's. Or there could be something in the body that influences both higher levels of omega 3's and prostate cancer.
At the present time this study show something that is interesting, but requires more research.View Thread
From my understanding that if you go to different lab that you really can't make a comparison.
And I suspect that at the same lab you could get tests day after day and see fluctuations of more from 0.028 and 0.0030.
I know nothing of you history or age, but for me I would be concerned, but not really worried until I saw 0.20. And then I would be figuring out if it was the right time or to wait to see how long it took to double or to wait for 0.4 or ?View Thread
During sexual arousal each gland produces a clear, salty, viscous secretion known as pre-ejaculate . This fluid helps to lubricate the urethra for spermatozoa to pass through, neutralizing traces of acidicurine in the urethra,[2> and helps flush out any residual urine or foreign matter. Though the pre-ejaculate does not contain sperm it is possible for this fluid to pick up sperm , remaining in the urethral bulb from previous ejaculations , and carry them out prior to the next ejaculation.
I had a prostatectomy and get small amount of fluid via that gland.
Don't know if that is what you are getting or not.View Thread
Different labs use different methods and different levels of detectability.
I used to get my test through my urologist who used LabCorp. I never saw the actual report, just "Undetectable" from the doctor.
The last one was through my PCP and he used Quest Diagnostics. And I got a copy of the actual lab report.
It is shows <0.02. And has these comments "PSA values obtained with different assay methods or kits can not be used interchaneably". Along with a statement that limit of accuracy for there test is 0.02.
Also there is a note that reagent was changed on 2/3/13 and the new lower level is 0.02 I have not idea of what is was before that from Quest.
Also this needs to be a Post-Prostatectomy PSA, which is a high sensitivity test, and it is different from the standard PSA.
I had to educate my PCP on the difference.
http://www.ncbi.nlm.nih.gov/pubmed/16921049 CONCLUSION: BCR defined as a PSA value of at least 0.4 ng/mL followed by another increase best explains the development of distant metastasis among 10 candidate definitions, after controlling for clinical variables and the use of secondary therapy. On the basis of this evidence, we propose that this definition be adopted as the standard for reporting the outcome of RP.