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  • #16
    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
    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

    Comment


    • #17
      What is your PSA retest schedule? I would stay on the aggressive side (for example every three months to start) if your insurance covers it
      BD: 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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