What is Prostate Cancer

Prostate cancer is a disease in which cancer develops in the prostate, a gland in the male reproductive system. Cancer occurs when cells of the prostate mutate and begin to multipl...

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Discussion:
High PSA after Prostectomy
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Well had my surgery and as far as the surgery goes it went well. Had my first psa test in June and it was .4 had my second on the 20th of October and it was .5. My doctor called and told me it was high and said he wanted to monitor it for 4 months if it continued to rise he wanted me to start radiation. "Surprise" I told him about it was .4 in June and he had to go check it out to confirm it. This after having seen him 2 days before. So now what. My PSA are considered high for having a prostectomy but no one seems to know what to expect from here. I called the Fox Chase Cancer center in Philadelphia and a nurse there said that that just may be my number. If it had started below .1 then they would be concerned but because it was .4 and has only gone to .5 they say I should wait a few months and take the test again. My questions are

1. knowing that the PSA with a Prostectomy are only an indictator of the possibility of Cancer and is not a definitive then what should I expect.
2. If it's a microscopic piece of Prostate cell then how will they determine if it ever becomes cancer.
3. At what point should I start to worry about it being Prostate cancer?

Anyone out there ever have something like this?
Posted on 11/02/09, 11:11 pm
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Reply #1 - 11/06/09  7:25am
" Technically you should have an undetectable PSA after surgery. Were your surgical margains clean? what about your seminole vessels? Two things about your PSA, its too high and the velocity is positive, which means something is going on. If your PSA rises again you need to do something about it. If its a microscopic piece of prostate your PSA should remain the same.
Dan "

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