Group: sci.med.prostate.cancer

Prostate cancer.

Add group to favorites Add group to favorites
   indietro Back to post list     indietro Send new message to group
Search:

Post Subject:

Question re: PSA numbers

Reply from: Sy
Date: 02 Jan 2008, 03:17
Question re: PSA numbers


I was diagnosed with Pca in August,2007.

My numbers are:

Age-60
PSA 3.17 (Had doubled in 18 months)
Stage T1c
Gleason 6 (3+3)
Bone Scan & CAT Scan-Negative
Active Surveillance

I will be getting another PSA next week. Can the PSA go down? If so,
why?

Thanks,

Sy

Reply from: ron
Date: 02 Jan 2008, 03:37
Re: Question re: PSA numbers

On Jan 1, 7:17 pm, Sy <stuttga...@lycos,com > wrote:
> I was diagnosed with Pca in August,2007.
>
> My numbers are:
>
> Age-60
> PSA 3.17 (Had doubled in 18 months)
> Stage T1c
> Gleason 6 (3+3)
> Bone Scan & CAT Scan-Negative
> Active Surveillance
>
> I will be getting another PSA next week.  Can the PSA go down?  If so,
> why?
>
> Thanks,
>
> Sy

Sy...With PCa anything is possible. Perhaps you had an infection
(infection "is" cell death, when the cell wall dissolves, the cell
contents - including PSA - leak more easily into the bloodstream) last
time which has since cleared up. Maybe you had done something that
"massaged" the prostate (which could cause it to leak additional PSA
into the bloodstream) prior to your last test. A lab error is also a
possibility. Good luck with the next PSA!..Best wishes and good
health, ron

Reply from: Leonard Evens
Date: 02 Jan 2008, 04:46
Re: Question re: PSA numbers

Sy wrote:
> I was diagnosed with Pca in August,2007.
>
> My numbers are:
>
> Age-60
> PSA 3.17 (Had doubled in 18 months)
> Stage T1c
> Gleason 6 (3+3)
> Bone Scan & CAT Scan-Negative
> Active Surveillance
>
> I will be getting another PSA next week. Can the PSA go down? If so,
> why?

PSA can vary for quite a few reasons, some of which ron described. So
it could go down. For exasmple, in my case, my PSA went from 3.3 to 4.5
over a period of about a year, and then on retesting it dropped to 3.8.
But I had already had a biopsy and been diagnosed with prostate
cancer, so thee exact value of the PSA was moot.

Your situation seems similar to mine in that you already know that you
have prostate cancer. If your PSA drops a bit on your next test, that
won't change the situation much. It is true that the PSA value is one
factor in deciding what to do next, but it is highly unlikely to drop
enough to change the situation. The Gleason score and other information
obtained from the biopsy already provides enough information.

>
> Thanks,
>
> Sy

Reply from: Steve Kramer
Date: 02 Jan 2008, 12:37
Re: Question re: PSA numbers

"Sy" <stuttgart6@lycos,com > wrote in message
news:010120082117392162%stuttgart6@lycos,com ...
>
> I was diagnosed with Pca in August,2007.
>
> My numbers are:
>
> Age-60
> PSA 3.17 (Had doubled in 18 months)
> Stage T1c
> Gleason 6 (3+3)
> Bone Scan & CAT Scan-Negative
> Active Surveillance
>
> I will be getting another PSA next week. Can the PSA go down? If so,
> why?

If you have a PSAD of 18 months, you can expect a PSA next week of somewhere
around 4.00. You can guess at a PSAD with only two measurements. You
cannot really know what your PSAD is until you have had three or more.

Therefore, you can have a PSA next week of 5.00 and determine that your PSAD
is really only a year. Or, you might have a slight rise and find that your
PSAD is really two years. To further complicated things, your PSAD can
change.

However, to answer your question more directly, yes, it can go down. I
don't know why it does. You would think that with a group of untreated
cancer cells that are reproducing and causing havoc, each all the while
producing a fairly constant amount of PSA, that the PSA could never
decrease. But, in fact, sometimes it does. And, I suspect if anyone knew
why, they'd be much closer to a cure than they are.




Reply from: jloomis
Date: 02 Jan 2008, 15:27
Re: Question re: PSA numbers

Could be the "blood sample" or the sensitivity of the test, or the lab that
does the test also.
A Dr. told me that PSA test results can vary depending on the lab..........
Anyway, getting a PSA test, and with your prior lab work done, may give you
more information that will help you make a decision toward dealing with
prostate cancer.
This was a difficutl time for me as well, and I had many thoughts, and
treatment options to dwell about. I do wish you the best direction.
jloomis
"Steve Kramer" <skramer@cinci.rr,com > wrote in message
news:477b7790$0$10994$4c368faf@roadrunner,com ...
> "Sy" <stuttgart6@lycos,com > wrote in message
> news:010120082117392162%stuttgart6@lycos,com ...
>>
>> I was diagnosed with Pca in August,2007.
>>
>> My numbers are:
>>
>> Age-60
>> PSA 3.17 (Had doubled in 18 months)
>> Stage T1c
>> Gleason 6 (3+3)
>> Bone Scan & CAT Scan-Negative
>> Active Surveillance
>>
>> I will be getting another PSA next week. Can the PSA go down? If so,
>> why?
>
> If you have a PSAD of 18 months, you can expect a PSA next week of
> somewhere around 4.00. You can guess at a PSAD with only two
> measurements. You cannot really know what your PSAD is until you have had
> three or more.
>
> Therefore, you can have a PSA next week of 5.00 and determine that your
> PSAD is really only a year. Or, you might have a slight rise and find
> that your PSAD is really two years. To further complicated things, your
> PSAD can change.
>
> However, to answer your question more directly, yes, it can go down. I
> don't know why it does. You would think that with a group of untreated
> cancer cells that are reproducing and causing havoc, each all the while
> producing a fairly constant amount of PSA, that the PSA could never
> decrease. But, in fact, sometimes it does. And, I suspect if anyone knew
> why, they'd be much closer to a cure than they are.
>
>
>






Login:
  Username:    Password: 
 
   Lost Password? click here!
Thread: