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You can disregard the Free PSA. A (total) PSA of <0.017 is excellent. My hunch is that your lab has only the test that measures total and free PSA, so it is also used post surgery.
Djin
Djin
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69 yr at diagnosis, BPH x 20 yr, 9 (!) negative biopsies, PCA3-
7-05-13 TURP for BPH (90→30 g) path negative for PCa, then 6-mo. checks
6-06-17 Nodule on right + PSA rise on finasteride: 3.6→4.3
6-28-17 Bx #10: 2/14 cores: G10 (5+5) 50% RB, G9 (4+5) 3% RLM
Nodule was negative for PCa
Bone scan, CTs, X-rays: neg.
8-7-17 Open RP, negative frozen sections, Duke Regional Hosp.
SM EPE BNI LVI SVI LNI(5L, 11R): negative, PNI+, nerves spared
pT2c pN0 pMX, G9 (4+5) acinar adenocarcinoma
5% of prostate (4.5 x 5 x 4 cm, 64 g) involved
Dry; ED OK with sildenafil
11-10-17 Decipher score: 0.37, Low Risk:
5-yr met risk: 2.4%, 10-yr PCa-specific mortality: 3.3%9-16-17 (5 wk) PSA <0.1
LabCorp uPSA:
11-28-17 (3 m ) 0.010
02-26-18 (6 m ) 0.009
05-30-18 (9 m ) 0.007 (nadir)
08-27-18 (1 yr.) 0.018 (huh?)
09-26-18 (13 m) 0.013 (retest)
11-26-18 (15 m) 0.012
02-25-19 (18 m) 0.015
05-22-19 (21 m) 0.015
08-28-19 (2 yr. ) 0.016
12-18-19 (28 m) 0.015
06-30-20 (34 m) <0.014
12-30-20 (40 m) 0.037 (?)
03-31-21 (43 m) 0.020
07-13-21(46 m) 0.018
01-25-22(52 m) 0.023 -
What is your PSA retest schedule? I would stay on the aggressive side (for example every three months to start) if your insurance covers itBD: 1959 PSA 4.9 11/2012 (no symptoms)
Biopsy 12/2012 Negative
PSA 5.9 05/2013 (still no symptoms)
Biopsy 6/2013 3+4 (thank goodness for PSA tests)
1 core positive (upper left), 1 suspicious (lower left) out of 12
DRE: bump right side T1c; PCA-III = 20 (normala)
Da Vinci 7/18/2013:
Total prostatectomy with seminal vesicles (S13-6085, 1-29, 7/18/13, 29 H&E and 1 paraffin block)
Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
Estimated total volume of carcinoma in entire prostate gland: 10%
TNM: T2b NX MX (Stage IIA)
PSA History:
8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA "undetectable" (PSA <.1)
March '19 = 0.1
April '19 = 0.10 <-- switched to uPSA tests
June '19 = 0.10
Sept '19 = 0.10
Dec '19 = 0.09
Jan '20 = 0.13
May '20 = 0.2 <- standard test by mistake
Jun '20 = 0.11 <- back to uPSA test
Aug '20 = 0.16
Jan '21 = 0.23
Feb '21 =0.20
Mar '21 - started ADT/HT, radiation scheduled
Jun '21 Eight Weeks Radiation @MSKCC
Jul '21 <.05 (T-Level 0)
Feb '22 <.05 (T-Level back to normal)Comment
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