PSA keeps going down does this mean anything?

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I have no prostrate problems but blood test showed a PSA of 7. Biopsy showed gleason 3+4 which is better than a 4+3 but still ads up to seven. 

3 months later the PSA was at 4.7. Three months after that it is a 4.1. 63 years old I feel great hard to believe I am sick. Depending on doctors some want to cut others want to nuke, some want to cut and nuke and drug. Bone scan (2) MRI, CT etc etc all show neg. scheduled  brachytherapy in two weeks but now getting cold feet...should I go for it or wait? Thanks

1 like, 6 replies

6 Replies

  • Posted

    I would most definitely get a second opinion on your Gleason score before taking irreversable action. I believe that 20% of Gleason scores are revised on second reading. I would also recommend Jay Cohen's book 'Prostate cancer breakthroughs - a step by step approach'. This will help assess your results to give your risk level. I would think that you would definitely fall into the low risk category. What is your DRE result?

    One thing you do have is time. A study into the effects of delaying treatment showed that the overall outcome was no different from those who delayed and those who didn't. Surprisingly, this was also true for those with aggressive PCa. If I were in your position I would not be going down the cut/nuke/drug route. Have a read of some of the other threads to get a balanced view. All the best.

    • Posted

      Thanks David. I had the slides reviewed and second Doctor agreed with first. I will take a look at the book. 
  • Posted

    Hi willie Just had result of second biopsie came back 3x4 what treatment to have god only knows every option seems to be bad bad and worse, 
  • Posted

    Get rid of it, find a good surgeon did you read the article wrote by Geoffrey Archer ana his wife in the mail it made a lot of sense. He went for the op with a lower gleason than yours what's your biopsy result if you haven't had one get one be POSITIVE and you can go on any negative thoughts are not good and the outcome is much or can be much worse so stand up and face it get your family behind you.

    STAY POSITIVE! !!!

    • Posted

      I have found a good surgeon Whiteplume he does nothing else but prostate procedures and i have made my mind up to go for it, Gleason 3x4 as of yesterday time for if and or but are over, Keeping positive and trying to ignore it i will be syching myself up for the op to come, This will be my last post until the op is over i will  however let you know how it all went thanks to everone who posted and good luk to you all.

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