Scans that are very sensitive for metastatic disease include the Na18F (sodium fluoride) PET/CT scan for bone, 11C acetate and choline scans for soft tissue and bone (which are available in very few locations), and the fairly new Axumin scan for bone and soft tissue which is becoming widely available. Thoughts? My PSA has gone from negligible then to 28 to 202 and now to 400. Prostate cancer. Last psa 2.2 Oct 2019 specialist wants to wait for psa to get back to 20 before more chemo. On the other hand, that history is before the impact of a slew of new drugs designed to help men with advanced cases, and we already know that those drugs are making a substantial difference. Nothing from a bottle, can or packet. Fort Washington, Pa.: National Comprehensive Cancer Network. News and information provided on this site should not be used for diagnosing or treating any health problem or disease. Yes. Frequent sex: Does it protect against prostate cancer? … I freaked a bit when he was really straightforward with me and told me I should have about 5 years to go if I have the big C and all else fails … wow …. Last year I was at a 4 so I’m sure it’s something.

If you were to join our social network, you could talk to my colleague Jan Manarite. Older men often have slightly higher PSA levels than younger men Your PSA level is 500? Your doctor will closely track how quickly your PSA levels change over many months. If you have surgery to remove your prostate, you will likely have undetectable PSA levels after a couple of months. If you were to join our social network, it would be a lot easier for me to provide you with detailed and personal information as we move forward.

Prostate cancer tumor markers. It also helps determine how likely the cancer will be cured with treatment such as radiation or surgery. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Should I really expect things to get worse in the not-to-distant future? I am also on a strict diet of no meat, potato, rice, bread, and basically all starches. Tests like a bone scan — which any good doctor is probably going to ask your ex to have done (along with other tests) — will help to resolve whether or not he is already metastatic. — What your clinical stage is (which will become more evident once we get the scan results) Change ), You are commenting using your Twitter account. Never Give Up!

It is going to be really important for you to educate yourself and become your own best advocate. Privacy: Your email address will not be published. There are all sorts of possible reasons why you might have a PSA of 28 ng/ml, of which the most likely is some sort of mild urinary tract infection. Some patients with very high PSAs at diagnosis respond very well to androgen deprivation therapy (ADT), as I did. In other words the statement in your third paragraph is wrong (based on the findings in this article). Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Take care, Just had another blood test this past week and the psa has climbed to 1800+ Dont know what we do now. But he was concerned about my high count so am off to do scan next Tuesday, then he will do a biopsy.

So the 5-year thing is a really worst case scenario, but better that the urologist is completely honest with you. During prostate cancer treatment, changes in your PSA levels help show whether your treatment is working. I am thinking about starting a real blog, where there is no deleting anyone’s comment. Does clinical benefit of ipatasertib outweigh risk for adverse events? Plus, the PSA blood test isn't precise. I want him to talk to his doctor first. If the cancer is not in a organ like the lungs, liver, or brain. Sign Up to Receive Our Free Coroanvirus Newsletter, Prostate Cancer's Link to Bone Metastasis, Prostate Cancer: Frequently Asked Questions, Join the Discussion in the Prostate Cancer Community, Slideshow: A Visual Guide to Prostate Cancer, Prostate Cancer Treatment: How to Handle the Side Effects, Prostate Cancer Clinical Trial: What to Expect. Webinar 2 on “Active Surveillance & Beyond”, Adding ADT to external beam radiation only benefits unfavorable risk patients, The ADVANCED prostate cancer needs survey, Risk calculators for men already on active surveillance, Who actually dies from prostate cancer? Metastatic Prostate Cancer Survival Related to PSA Drop After Treatment. It is also quite certainly true that standard therapy for a man with this diagnosis is combination therapy with both androgen deprivation therapy (ADT, also known as “hormone therapy”) and radiation therapy to the prostate itself and to the surrounding pelvic tissues.

If you wish to write your own blog, I suggest that you go right ahead and do that. I started ADT one year later than you with Eligard (leuprolide acetate) PSA=1.0 (T=368). I think we need to very clear with you that you are almost certainly have very high-risk prostate cancer that is either evidently metastatic (already spread to your bones or other organs) or at least micrometastatic (spread way beyond your pelvis but not yet visible on a bone scan or a CT scan), and that you are going to need treatment that will be designed to manage your life expectancy. If you have or suspect you may have a health problem, please consult your healthcare provider. Probably because of high level of research funding as a consequence of the Movember Foundation‘s initiatives, Australia is increasingly providing us with interesting data on the diagnosis, management, and outcomes of men with prostate cancer. Prostate-specific antigen (PSA) is a protein produced by the prostate gland. So what do you think, Sitemaster? "Low or undetectable PSA after seven months of androgen-deprivation therapy is a powerful predictor of risk of death in patients with new metastatic prostate cancer," Hussain said, in a news release. Eventually, the body becomes resistant to the drug. Your doctor will closely track how quickly your PSA levels change over many months. PSA over 400. Chemotherapy and sex: Is sexual activity OK during treatment? Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. Talk to your doctor about what this might mean.

Somehow I feel that my urologist is not telling me everything. Sign Up to Receive Our Free Coroanvirus Newsletter, Prostate Cancer's Link to Bone Metastasis, Prostate Cancer: Frequently Asked Questions, Join the Discussion in the Prostate Cancer Community, Tennis Ace John McEnroe Champions the Cause of Prostate Cancer Research. Read our information about coronavirus and cancer. You'll receive a notification email at this address if there's a comment added after yours. So the other important factor here is how long your life expectancy might reasonably be expected to be if you did NOT have prostate cancer. Now there may be a way to predict this treatment failure. © 2005 - 2019 WebMD LLC. I have decided against treatment. psa level of over 20,000 5 Oct 2018 20:04 in response to Caz19 had the meeting with the urologist who confirmed it was PSA > 20,000 and scan has shown multiple bone secondaries and retroperitoneal Lymphadenopathy Yogurt and Kimchi Are Not Always Good to Your Health. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. He may call this your "PSA velocity." © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). A bone scan and a CT scan yesterday revealed no metastatic spread other than a possible extension into my bladder. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Tijdens adviesgesprek over het vervolg zal de arts bij elke uitslag diverse factoren betrekken. — What your Gleason score is (a measure of the aggressiveness of your cancer) Additional observations, Synergy between radiation of metastases and immunotherapy confirmed, Men with PSA levels of < 20 ng/ml at diagnosis (Group A), Men with PSA levels of 20 to ≤ 100 ng/ml at diagnosis (Group B), Men with PSA levels of 100 to ≤ 200  ng/ml at diagnosis (Group C), Men with PSA levels of 200 to ≤ 500 ng/ml at diagnosis (Group D), Men with PSA levels of >500  ng/ml at diagnosis (Group E). Learn how your comment data is processed. It is possible, though quite unlikely, that an infection alone could raise a PSA above 200. Therefore, prostate cancer specific survival time would not be much different – likely a matter of months – for men starting with a PSA of at least 100 regardless whether they were in Group C, Group D, or Group E. This line of thought also seems a strong contender for explaining the final finding noted above that “Overall survival decreased as PSA increased (in a linear manner) until a diagnostic PSA level of 200 ng/ml, but there was no association thereafter.” In other words, whether the PSA at diagnosis is 200 or higher is not going to make much difference. It would be valuable to know how many of your biopsy cores were positive for cancer and the Gleason scores of the positive cores. You will need to talk to your doctor and tybou could ask for a repeat PSA test to check the data, but you should also talk to him about having a biiopsy, and he or she is probably going to wanmt to talk to tyou about having a bone scan and a CT scan as well, because if your PSA is really 433 ng/ml the chances are high that you already have metastatic prostate cancet than has spread beyond the prostate.

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