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Home > Archive > Prostate > October 2004 > Re: PSA predicts BHP, not much else >>personal experience and comments
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Re: PSA predicts BHP, not much else >>personal experience and comments
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| Len:
So far, I've gotten the impression that 4 is the magic number, not 2.5.
However, that is assuming a continuing low velocity increase!
Mel (also, like you, a prof. of mathematics!)
"Leonard Evens" <len@math.northwestern.edu> wrote in message
news:tbWdnaAWIeOjMcPcRVn-qQ@comcast.com...
> MB wrote:
>
> I am not a physician, but it looks like BHP to me. There doesn't seem to
> be a steady rise, but the overall trend since 1995 is about .95/9 = .15
> ng/ml per year. The cutoff point is 0.75 ng/mll per year over a two year
> period. You are well below that.
>
> For perspective, let me describe what happened to me. I started in the
> early 90s at about your age. My PSA values fluctuated from 1.7 to 2.6
> until 1998 and then in a two year period they went from 2.6 to 3.3 and
> then to 4.5. (Actually a subsequent test showed only 3.8.) That was
> above the threshhold but not by a whole lot, particularly keeping in mind
> the 3.8 reading. My urologist said I could either keep doing PSAs every
> few months to see what happened or have a biopsy then. He thought the
> biopsy might make more sense because "it would put my mind at rest". So
> when I chose biopsy, I think he was slightly surprised that I had at
> Gleason 7=3+4 cancer found in four of six samples on one side. I had an
> RP and it appears from the post surgical biopsy and from subsequent PSA
> tests that we got it in time. Anyway, the upshot is that if the PSA
> starts rising enough to be of concern, it will probably be fairly
> obvious. Since that hasn't happened yet, don't assume it is going to
> happen and just keep calm. However, it may in a few years go over 2.5
> and it is possible at that point your urologist may want to do a biopsy.
> But it is much more likely than not that such a biopsy won't come up with
> anything.
>
> If you live long enough and don't ever have a diagnosis of prostate
> cancer, you will be able to stop taking PSA tests.
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