PSA Test Results update---turns out I may be an idiot.

No worries. That's about as low as you can go. Congratulations!

That's fantastic Now go have that drink.

Craig, I’ll bet money the nurse misquoted. They are under pressure and a mistake like that is common.

Don’t feel Stu-I’d feel happy....no feel elated.
Congrats

craig10 said...
I almost embarrassed to report this out here.
.....I sincerely apologize for wasting everybody's sweet time.....

Wonderful news, and no need for apologies, Craig.

Great result! Enjoy...

Note that I have also been given wrong results over the phone a few times and I always now wait for the electronic or hard copy.

pasayten

craig10 said...
Many thanks to all of you--- although I don't post alot-- I read you guys all the time and deeply appreciate your insights!

Thanks for the thoughtfulness-- Craig10

Congrats, Brother Craig! Hey I noticed you took pomegranate juice for a while, and it appears your PSA came down. Do you still take it?

Billy bob@388

Yes I take 3 0z of unsweetened pomegranate juice daily and also a pomegranate supplement

This was based on that paper from a few years back regarding reduction of PSA. I stopped taking it for a while and my PSA crept up to .05. It may be anecdotal but it did happen!!

I’m on it again and im undetectable.
I’m not saying there is a cause and effect here, I think I just do it for peace of mind. And, it’s a good antioxidant anyway.

Still confused about the prior PSA test results

6-19 .01
9-19 .05

and then < 0.006 ?

if it is a uPSA test the real numbers are

6-19 .010
9-19 .050

seems odd to have it jumping around with substantial whole numbers and then get a 0.005 or lower

do you take biotin vitamin b7 / b vitamin supplements as these register positive for uPSA ?

My situation is reversed I went from < 0.006 on 7/19 to 0.012 on 12/12

I cut out vitamin b7 / b vitamin supplements 3 days before testing btw

DjinTonic

was curious to what all your uPSA test results were after RP

I am trying to dial mine in and eliminate noise as they bounce around more than 2 SD with a slight upward trend

the 2 SD variation is possible (as a CalTech grad I appreciate these details)

also curious as to what I can do with my decipher test if I need treatment down the road

Genomic Health Decipher test score 0.22 below-average risk, 0 to 1 scale

I am 60 years old

My uPSA was first detectable at 17 months (with b vitamin supplements being used).

These b vitamin supplements were subsequently eliminated with uPSA being detected again at 26 months post-op RP

Radical Prostatectomy 11/19/2015 with Gleason 3+4 at age 56

uPSA test result history

12/27/19 12/20/19 12/13/19 12/6/19 12/4/19 7/15/19
0.011 0.010 0.012 0.011 0.011 <0.006

4/3/19 11/29/18 11/16/18 9/21/18 7/16/18 4/30/18
0.008 0.007 0.009 0.007 0.007 <0.006

2/24/18 1/8/18 11/14/17 10/11/17 9/16/17 9/15/17
<0.006 0.008 <0.006 <0.006 0.009 0.010

6/5/17 3/3/17 12/1/16 8/29/16 5/4/16 1/14/15
<0.006 <0.015 <0.015 <0.015 <0.015 <0.02


my medical history is as follows

Genomic Health Decipher test score 0.22 below-average risk, 0 to 1 scale

Genomic Health Decipher test predicts metastasis risk and longevity for 5, 7 and 10 years out.

11/19/2015 Radical Prostatectomy UCSF Dr Peter Carroll da Vinci robotic surgery

Synoptic Comment for Prostate Tumors
- Type of tumor: Small acinar adenocarcinoma.
- location of tumor: Single tumor. Left posterolateral midgland and base (1.2 cc; slides B10-12).
- Estimated volume of tumor: 1.2 cc.
- Gleason score: 3+4=7; primary pattern 3, secondary pattern 4.
- Estimated volume > Gleason pattern 3: 10%.
- Involvement of capsule: Tumor invades capsule: left posterior midgland (slides B10, B11).
- Extraprostatic extension: None.
- Margin status for tumor: No tumor at ink, but tumor into capsule is less than 0.1 mm from ink; slide B11.
- Margin status for benign prostate glands: No benign glands present at inked excision margins.
- High-grade prostatic intraepithelial neoplasia (HGPIN): Present, extensive.
- Tumor involvement of seminal vesicle: No tumor.
- Perineural infiltration: Present.
- Lymphovascular invasion: None.
- Lymph node status: Negative; total number of nodes examined: 1.
- AJCC/UICC stage: pT2aN0.

Johns Hopkins (Epstein) pathology 10/13/2015
Gleason Score: 3+4=7
Left Base
2 cores (60% + 20%) (30% Gleason pattern 4)

Kaiser pathology, 9/1/2015
STAGE: T1c
Gleason Score: 3+4=7
NUMBER CORES INVOLVED/TOTAL NUMBER CORES: 2 / 14
TOTAL CARCINOMA LENGTH: 10 mm
PSA 3.2 6/10/2014
PSA 4.8 6/8/2015
PSA 4.4 8/10/2015 (free PSA 7%)
PSA 5.0 9/28/2015 (free PSA 8%)

A) PROSTATE, RIGHT APEX, NEEDLE BIOPSY
-- ATYPICAL SMALL ACINAR PROLIFERATION
-- TOTAL SPECIMEN LENGTH, 44 MM

B) PROSTATE, RIGHT MID, NEEDLE BIOPSY
-- FOCAL HIGH GRADE PROSTATIC INTRAEPITHELIALMike smith (IL.)(70) Lara 🌻 well health is a complex thing, I have been hit twice on the bike by cars and crashed out a few times in fast group rides by others, no diagnosed concussions yet I developed a mild case to late onset Epelisey
NEOPLASIA
-- TOTAL SPECIMEN LENGTH, 30 MM

C) PROSTATE, RIGHT BASE, NEEDLE BIOPSY
-- FOCAL HIGH GRADE PROSTATIC INTRAEPITHELIAL NEOPLASIA
-- TOTAL SPECIMEN LENGTH, 23 MM

D) PROSTATE, LEFT APEX, NEEDLE BIOPSY
-- BENIGN PROSTATIC GLANDS AND STROMA, 43 MM

E) PROSTATE, LEFT MID, NEEDLE BIOPSY
-- BENIGN PROSTATIC GLANDS AND STROMA, 22 MM

F) PROSTATE, LEFT BASE
ADENOCARCINOMA, GLEASON GRADE 3+4 = 7
ADENOCARCINOMA INVOLVES 2 OF 2 CORES AND 10 MM OF 30 MM

The first involved core from the left base contains 3 mm of Gleason grade 3+3=6 adenocarcinoma and the adenocarcinoma is located 6 mm from the presumed peripheral edge (see note).
The total core length is 17 mm.

The second involved core from the left base contains 7 mm of adenocarcinoma. Greater than 6 mm of the adenocarcinoma is Gleason grade 3 and less than 1 mm is Gleason grade 4. The Gleason grade 4
adenocarcinoma is located approximately 2 mm from the presumed peripheral edge (see note).
The total core length is 13 mm.

NO PERINEURAL INVASION IDENTIFIED

thx just collecting s many hard facts and data as I find them reassuring.

many may just assume the best but that has never been my style.

i was self pay for the Decipher test for 5K but wanted more data.

these new uPSA low test values gives the data guys something to think about

anyways my friends uPSA rose three times to 0.043 at which point Stanford acted. the new goal line as opposed to 0.1.

his insurance covered the 1.5M expense, I need to find out what is medically justifiable as I am 60 years old and in great shape. my friend is a national master swimming medalist who went thru ADT which is a tough call. he still hopes to set a world record.

i worked at 22 companies in 32 years as a freelance sw guy in silicon valley for the most part and want to stay retired with health insurance.

he was waiting for a study to complete but ran out time

collecting 3 year and 5-year data is tough.

i sent my son thru UCSF medical for $280k for 4 years so I have done my part healthcare wise. was a self pay RP at UCSF in 11/15 for 65k. also donate to this site btw.

my genetics say I will live a long time but is uncertain

did 870 hours on the bike last year as usual.

DjinTonic said...
Hi jronne,
Signature space here doesn't permit all my PSA results,
Djin

Djin, best workaround is to create (or modify) your signature in a word doc, or other platform, even email, outside the forum, then copy and paste it. It should work.