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Just diagnosed with multifocal 3+4 T2Bn0m0

User
Posted 11 Jul 2024 at 14:11

Thanks TechGuy. Fingers crossed you are right. 

User
Posted 12 Jul 2024 at 12:12

Hi Jeremys - I think we are in the same boat. After 2.5 years of <0.01 (after RALP) I was discharged back to my GP. First test at 3 years comes back as "0.03".  GP didn't bother telling me and I found out by chance. That really hit me hard.  Repeat after a month comes back as "<0.03". So it seems the assay used by the lab the GP uses has a lower limit of quantification of 0.03 ng/mL (same as micrograms/L), rather than the 0.01 I was used to. I'm beginning to suspect that some muppet at the lab missed off the all important <. Second repeat in a couple of weeks.  If it's another <0.03 I may get myself a more sensitive private test just to be certain.

I spent 20 years developing and validating bioanalytical methods and my gut suggests we may both be victims of the inherent variability that bioassays demonstrate at their limit of quantification (and/or lab staff cock up).  Doesn't fill us with confidence though, does it?

Cheers
Ian

 

Edited by member 12 Jul 2024 at 12:32  | Reason: typo

User
Posted 12 Jul 2024 at 13:52

Yes perhaps we are in The same boat. Will wait for the retest. Good luck !!

User
Posted 16 Jul 2024 at 09:56

Many hospitals now only test down to 0.1, as Addenbrookes in Cambridge do when testing my post surgery PSA. Initially, it was tested to 0.01 but they changed to 0.1 on the basis that any small changes from 0.01 were probably meaningless and  caused worry when such small increases were reported. My next 6 monthly test is tomorrow and, hopefully, that  will come out at less than 0.1.

 

Ivan

Edited by member 16 Jul 2024 at 10:15  | Reason: Not specified

User
Posted 16 Jul 2024 at 10:09

Originally Posted by: Online Community Member

Many hospitals now only test down to 0.1, as Addenbrookes in Cambridge do when testing my post surgery PSA. Initially, it was tested to 0.01 but they changed to 0.1 on the basis that any small changes from 0.01 were probably meaningless and  caused worry when such small increases were reported. My next 6 monthly test is tomorrow and, hopefully, that  we come out at less than 0.1.

 

Ivan

 

_________________

 

Might be worth asking for a copy of the blood report. I’ve found what’s reported can be different that what’s reported….suspect to reduce ‘noise’ anxiety as you say. When I started my post RARP routine PSA blood I found my GP would report <0.01 when the actual value was <0.006. But as we all know further treatment isn’t usually considered until >0.1. Quite a few trusts have now adopted the new Abbott Method which reports to <0.025 on the lab blood report.

Edited by member 16 Jul 2024 at 10:10  | Reason: Not specified

User
Posted 16 Jul 2024 at 10:22

Thanks for that and I will mention it to the specialist nurse when I speak to her after my test.

 

Ivan

User
Posted 23 Jul 2024 at 16:50
I had a re test of PSa following my 0.04 reading last week and it was 0.03 so still detectable and higher than all my previous undetectable readings of <0.03

On Monday i had a consultation with the oncologist who said to not worry too much at this stage and simply monitor every 3 months. He said it was either a recurrance in which case he would expect it to rise further quite quickly prompting salvage radiotheraphy or it could just as easily be benign prostate tissue left behind that was giving off some PSA and that if this was the case he would expect it to fluctuate a bit. So it has fluctuated down to 0.03 from 0.04 and im pinning my hopes on it being that but will monitor quarterly. Next call with him only necessary if it rises again to 0.05 but even that would not necessarily trigger SRT immediately. Feeling somewhat reassured anyway….

User
Posted 23 Jul 2024 at 17:22

That’s good news. Did you get a copy of the blood report? I found a couple of times the < was missed off in the GP reporting system then corrected later. I always ask for the printed report from the lab which reduces scope for error.

User
Posted 24 Jul 2024 at 19:03
I did check with them in person and they said they had not missed off the < sign sadly.
 
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