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Talked to my brother yesterday and he told his PSA was around 25. I have never heard of any man with a PSA that high. He also told me the nurse practitioner he was seeing until about 2 or 3 months ago told him, when it was at 17 not to be too concerned but maybe he should we a urologist. This is a man that goes to the doctor every month cause something is wrong: at least he thinks something is wrong. I can't believe as often as he sees the doctor someone would not have picked up years ago on a high PSA? BTW he if almost 70 years old. I do not know how often he has had it tested.
Yep, my thoughts exactly. When my hubby's PSA dot to 6 he was referred to a urologist. This has been the case with most of or friends as well. Certainly when it gets to 10.
Are you sure the NP or brother didn't leave out a decimal point in the number ?
That is just what I am thinking and brother is always sure he knows more than anyone else. Who knows what the true story is. I am sure he will not tell me, if he made the mistake. Or, our granddaughter, who is a nurse practitioner said what probably happened was something like this: when the figure of 17 came back the NP probably, not to scare the holy you know what out of him, told him he needed to see a urologist but not to worry. He may have taken that as "I will be ok" He does live in a very small town in northern CA and not that close to good medical facilities.
If his PSA was 25 he would likely be very ill and would probably have had other symptoms long before now. 2.5 sounds more likely for a 70 yr old. In fact that would be a on the low-ish side.
I just can't believe he's been walking around with PSA of 17 on the way to 25 and has no other symptoms and feels just fine otherwise.
In 2014 my PSA was in the 30s. I had a biopsy done and in 12 out of 12 core samples showed a high 'gleason' cancer. I went through the DaVinci robotic surgery a week later and had my prostate removed [along with the attached nerve bundle]. The post-surgery pathology report showed the cancer was in the process of leaving the prostate.
Outside of the PSA test being high, I never had any symptoms.
I continue to have my PSA tested, and in Spring 2018 it went up again. So this year I went through radiation treatments and hormone therapy.
There are several reasons a PSA might become elevated-- infection/inflammation, benign (normal) increase with age, getting the blood test done right after the doc stuck an examining finger in there, or, um...uh....recent "recreational activity."
Many PCPs, if an infection is ruled out, would just have you wait a few weeks and then repeat the test. If it's still high, then you could go to the urologist. With a value as high as that twice, he'd then be pretty much obligated to recommend a biopsy. If cancer is seen on the biopsy, the cells can be genetics tested--if an aggressive form is found, you can consider treatment. If a more benign type is found, "watchful waiting" may be chosen after discussion with your docs.
I had been 'watching' my PSA, with my primary doc, and when it reached 11, off to the urologist. Biopsy showed 7 of 12 cores considered suspicious or malignant. Dad also had prostrate cancer.
Long story short, 45 radiation sessions, NO hormone treatment, and 3 years later PSA is 0.2
sounds about like my hubby. He went even sooner and did do the wait game for a very short time. Eventually he had the surgery, combined with radiation and hormones. That was years ago. He had to go for PSA tests for 6 years. Now, even that is behind him. The hormones did some damage to his legs so he is a bit limited mobility wise. I might add. he also had Lipo Sarcoma cancer in his abdomen at the same time, so lots or surgery.
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