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Does a 0.1 psa mean the prostate cancer is not progressing?
  1. #1
    R.W. L. Guest

    Default Does a 0.1 psa mean the prostate cancer is not progressing?

    I know that a very low psa is a favorable indicator, however, I wonder
    if it is that good of an indicator of my status as an advanced prostate
    cancer patient.




  2. #2
    Steve Jordan Guest

    Default Re: Does a 0.1 psa mean the prostate cancer is not progressing?

    On May 22, R.W. L. wrote:

    > I know that a very low psa is a favorable indicator, however, I wonder
    > if it is that good of an indicator of my status as an advanced prostate
    > cancer patient.


    It's the dynamics of the PSA results that are important, not just one or
    two readings.

    IOW, is it changing? How much and over what length of time?

    It is recommended by knowledgeable oncologists that the tests use the
    "ultrasensitive" test protocol because it gives the patient early
    warning of changes that would not be detected using the less-sensitive
    tests.

    See the authoritative website of the Prostate Cancer Research Institute
    (PCRI) at:
    http://prostate-cancer.org/index.html
    ....and search on topics of interest.

    Regards,

    Steve J

  3. #3
    Alan Meyer Guest

    Default Re: Does a 0.1 psa mean the prostate cancer is not progressing?


    "R.W. L." <[email protected]> wrote in message
    news:[email protected]..
    >I know that a very low psa is a favorable indicator, however, I wonder
    > if it is that good of an indicator of my status as an advanced prostate
    > cancer patient.


    The short answer to your question is, a low PSA is a good
    indicator that your cancer is not currently very active.
    However it does not necessarily mean that it will not
    become active.

    What treatments have you had?

    What was your highest PSA prior to treatment?

    Are you now, or have you recently been, on hormone therapy?

    What do you mean by "an advanced prostate cancer patient"?

    Have you been diagnosed as having metastatic cancer?

    Your doctor is better equipped than any of us to say what
    your PSA means in your particular case, however the
    people in this newsgroup may be able to venture some
    useful ideas if you give us more facts about your case.

    Alan



  4. #4
    MAS Guest

    Default Re: Does a 0.1 psa mean the prostate cancer is not progressing?

    I concur with Alan.

    As an advanced prostate cancer patient with mets, and after completing a
    clinical trial, I am met free with an undetectible PSA going on 30 months.
    (In fact, time for scans and a PSA in two weeks.) I know that at some time
    in the future the cancer is expected to rear its ugly head and become active
    again. When that happens we will try and knock the bastard down again. Put
    your faith in your Medical Oncologist and God and by all means talk to both.

    Gourd Dancer

    "R.W. L." <[email protected]> wrote in message
    news:[email protected]..
    >I know that a very low psa is a favorable indicator, however, I wonder
    > if it is that good of an indicator of my status as an advanced prostate
    > cancer patient.
    >
    >
    >




  5. #5
    R.W. L. Guest

    Default Re: Does a 0.1 psa mean the prostate cancer is not progressing?

    Thanks for your postings to my question. I received an email from
    someone who answered my question. My oncologist was so busy trying to
    close down his practice and move to another city when he suggested that
    psa is not definitive in ascertaining the status of my cancer that he
    did not explain. That seems to be the status of medical practice
    nowdays. Doctors are either "burned out", or overwhelmed by numbers of
    patients, or they are racing for the multi-million dollar rung on the
    Forbes list of the rich and famous.

    Now I know the answer....there are two kinds of prostate cancer cells
    involved in this. The androgenic sensitive cells which become inacive
    in the absence of male hormone----and the non-androgenic dependent
    cells, which continue to grow.
    I would assume that what we need -- a therapy to control them??
    ------------
    I have posted before about the details of my case. I was diagnosed as
    having p.c. following a "roto-rooter" procedure. A very high Gleason
    Score (8). I underwent 38 radiation treatments which concluded in Dec.
    2004. I had a Lupron shot six weeks before radiation....my psa
    following radiation was 0.2 A year later testing revealed that it began
    to rise every three months, until it reached 6.7. Scans of abdomen and
    pelvis showed no problems, however, the radiologist saw nodules in lower
    lobe of lungs. CT scan and needle biopsy of a nodule in my lungs
    (numerous nodules were scattered throughout lungs)
    The tissue was staineed with a psa stain and it was positive for p.c.

    Lupron, and later Eligard shots brought the psa down to "non-detectable
    levels" and the nodules in my lungs resolved so they were no longer
    visible on chest x-ray. I am due for another Eligard shot (which stings
    like a bee) next month, following another psa.

    I have had three consecutive psa's of 0.1

    I will be 81 in July. One year prior to p.c. I had a transitional cell
    carcinoma in my right kidney. I had a nephrectomy and a gall bladder
    removal during the same proedure. A second procedure removed the ureter
    with its attachment to the bladder.

    Thanks for all of your responses,
    ~Ralph


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