I'm interested in conversations about and I want to talk about
Know exactly what you want?
Show search

Notification

Error

PSA increase post RP

User
Posted 25 Jan 2015 at 16:36

On Fri My husband Jon  got  his one year post RP PSA test and it was up for the first time from 0.005 to 0.1 - no appointment with consultant scheduled and no return call as yet from specialist nurse service so just wondering if anyone on here can give us some idea how worried to be about this?!

Thanks

Kerri

 

User
Posted 25 Jan 2015 at 23:20

PS Even if the result really was 0.1 your OH would probably not be considered a worry until and unless he had three successive rises and/or his PSA went above 0.2.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 26 Jan 2015 at 11:43

Hi Kerri,

I wouldn't think it's worth worrying about at this stage......... I've only ever received my PSA results to 2 decimal places not 3.

My results have been given as < 0.01 so that could mean my PSA is .009... 

I think I'm correct in saying that 0.01 is classed as undetectable? .....Maybe someone can confirm that.

The difference in readings that you have given  are minuscule and  could well be attributed to variation / variability and equipment tolerances etc...

I would be very surprised given my limited knowledge if your husband's consultant will be concerned unless  successive readings showed a rising trend and velocity...

Best Wishes
Luther

Show Most Thanked Posts
User
Posted 25 Jan 2015 at 22:52
Hi Kerri

Could you confirm the latest PSA, because your profile reads 0.01 and not 0.1 as shown on your post. The difference may seem small it will be relevant as to what advice you receive. A rise to 0.01 would only be a doubling time of 1 year and could also be down to the way the lab reports its results etc.

Roy

Edited by member 25 Jan 2015 at 22:52  | Reason: Not specified

User
Posted 25 Jan 2015 at 23:19

Hi Kerri, it could just be that for previous PSA tests, someone ticked the 'ultra-sensitive' box and this time they only ticked the normal box. My John has to remind the nurse EVERY time to tick both!

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 25 Jan 2015 at 23:20

PS Even if the result really was 0.1 your OH would probably not be considered a worry until and unless he had three successive rises and/or his PSA went above 0.2.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 26 Jan 2015 at 11:25

Thank you!

PSA is up from 0.005 to 0.01 so it has doubled in the last 6 months his immediate post op result was 0.008

And I am not certain it was the most sensitive test so we will check that out first

Thanks again - it is so helpful just knowing other people are out there ahead of us on the path

Kerri

 

User
Posted 26 Jan 2015 at 11:43

Hi Kerri,

I wouldn't think it's worth worrying about at this stage......... I've only ever received my PSA results to 2 decimal places not 3.

My results have been given as < 0.01 so that could mean my PSA is .009... 

I think I'm correct in saying that 0.01 is classed as undetectable? .....Maybe someone can confirm that.

The difference in readings that you have given  are minuscule and  could well be attributed to variation / variability and equipment tolerances etc...

I would be very surprised given my limited knowledge if your husband's consultant will be concerned unless  successive readings showed a rising trend and velocity...

Best Wishes
Luther

User
Posted 26 Jan 2015 at 12:39

Luther

 

I got my PSA result on Friday @ 0.03 which was the nurse then described as "so undetectable". I attend nurse led clinics and would only see my consultant "if the threshold of 0.1 is exceeded"

 

Thanks Chris

 

 

User
Posted 26 Jan 2015 at 13:03

Originally Posted by: Online Community Member

Luther

 

I got my PSA result on Friday @ 0.03 which was the nurse then described as "so undetectable". I attend nurse led clinics and would only see my consultant "if the threshold of 0.1 is exceeded"

 

Thanks Chris

 

 

Chris,

My consultant has given me similar info....... He also told me that intervention would not even be considered until at least 0.1 was reached and even then only with a rising trend and velocity as a factor taken into account...

User
Posted 27 Jan 2015 at 02:20

Kerri, if the PSA turns out to have gone from 0.005 to 0.01 it is still unlikely to be a concern - at these tiny levels, machine noise, one machine being calibrated or due for calibration, our consultant said it could be as minor as picking up a part cell on a slide rather than a full one. He also said that due to normal variance to half of one hundredth, a reading of 0.03 could actually be anything from 0.01 - 0.05 - i.e. if you put one blood sample into five different test tubes, it could produce 5 different results anywhere in that range.

I can see why nurse led clinics are required to check back to the consultant if someone's PSA rises over 0.1 but it still remains that 0.2 is the 'official' threshold for chemical recurrence. Belt & braces between 0.1 - 0.2 will be more likely if there were concerns after the path results, there have been successive rises or if the rise is rapid, if the patient is very anxious, etc

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
Forum Jump  
©2024 Prostate Cancer UK