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User
Posted 19 Jan 2025 at 16:20

Hi, I was diagnosed in April after a routine health check. 61 years old. PSA 5.7 and 5.8 on repeat. Referred for mpMRI which showed a ‘small thin enhancement’ in the left lobe. I believe 3mm not near edge, T1 ish as can’t be felt with DRE. Biopsy followed with 2 of 6 targeted cores showing Gleason 6 approx. 5% in each (slightly less). Rest of prostate clear. Consultant advised no treatment required at this stage and a period of AS recommended. PSA tests in July (4.27) and Oct (3.89), should get Jan test back this week (always a nervous wait). Annual scan in April. I’ve had my moments but consultant clear this is the correct approach and having read up on this I agree. He can’t say how this will develop but says it is low risk and likely very slow growing or indeed indolent. Plus gives time for future procedures to come online should I require intervention in the future. It’s all been handled well so far, fortunately I have private insurance, so very quick diagnosis. I don’t see many AS people on here, but my consultant says he has loads on AS. Thought I’d share my story so far and thanks for all the great info on this site. 

User
Posted 19 Jan 2025 at 19:26
Tends to be a forum for people with problems or dilemma about treatment. People who are happy with AS are probably happy with their path and won't worry about it in-between scans / PSA tests.

User
Posted 19 Jan 2025 at 20:16

Hi Alex.

I'm sorry that you've had to join the club but welcome to the forum mate.

Have I read your blood result correctly, in that over a 7 month period your PSA has gone down from 5.8 in Apriil to 3.89 in October?

From the information you've given, that you have a low grade, low volume, safely prostate confined disease, you seem an ideal candidate for AS, which as a treatment is on the increase.

https://www.cancer.gov/news-events/cancer-currents-blog/2022/prostate-cancer-active-surveillance-increasing

Just ensure you are properly monitored, with continued PSA checks and scans. Good luck with your January PSA result and your follow MRI in April. Please keep us updated.👍

 

Edited by member 19 Jan 2025 at 20:17  | Reason: Typo

User
Posted 19 Jan 2025 at 20:24

Thanks Adrian, that’s right, my PSA has gone down between April and Oct. The tests in July and Oct. were at different lab so that may explain, but the consultant was happy this is stable nonetheless. I’ll keep you posted and my fingers crossed 🤞 

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User
Posted 19 Jan 2025 at 19:26
Tends to be a forum for people with problems or dilemma about treatment. People who are happy with AS are probably happy with their path and won't worry about it in-between scans / PSA tests.

User
Posted 19 Jan 2025 at 20:16

Hi Alex.

I'm sorry that you've had to join the club but welcome to the forum mate.

Have I read your blood result correctly, in that over a 7 month period your PSA has gone down from 5.8 in Apriil to 3.89 in October?

From the information you've given, that you have a low grade, low volume, safely prostate confined disease, you seem an ideal candidate for AS, which as a treatment is on the increase.

https://www.cancer.gov/news-events/cancer-currents-blog/2022/prostate-cancer-active-surveillance-increasing

Just ensure you are properly monitored, with continued PSA checks and scans. Good luck with your January PSA result and your follow MRI in April. Please keep us updated.👍

 

Edited by member 19 Jan 2025 at 20:17  | Reason: Typo

User
Posted 19 Jan 2025 at 20:24

Thanks Adrian, that’s right, my PSA has gone down between April and Oct. The tests in July and Oct. were at different lab so that may explain, but the consultant was happy this is stable nonetheless. I’ll keep you posted and my fingers crossed 🤞 

 
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