Increase of my PSA, Questions to ask

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 Hope everyone understands this....

Age 66

T3b N1 M0

Gleason 4+5=9

Aggressive and high risk

2021

Hormone Therapy for 2 years

Chemotherapy  and Radiotherapy 

Oncology phoned checking I have had my PSA prior to my 6 monthly check on Monday coming.

Asked how I was and I  explained that I was being sick either early morning  or in the night which starts with a belch and almost all the time with a single hiccup or several hiccups.

Nurse advised me to see GP as it sounds like my stomach, I had my PSA done on Monday and the result came back as 0.23, I have been getting results of 0.01 for the last 4 years and the last one was one six months ago was 0.04.

I did see a GP over my stomach as advised and was fast tracked to a consultant re suspected stomach cancer, I saw the consultant yesterday and now see the consultants team for an endoscopy on Monday.

What I wanted to know is if the rise is significant and what  questions should I be asking my Oncologist on Tuesday at my six monthly a

kindest regards 

Spud

”you don’t know how Strong you are 

until being Strong is your only choice”

  • Hello Spud ( 

    Nice to hear from you - although not with the news above. I wish you well on Monday and hope the results come back clear - and it's being caused by something other than cancer.

    As for the rising PSA the rule of thumb is intervention after 3 consecutive rises or a rise of +2. Personally the rises from 0.01 to 0.04 to 0.23 do not appear to be significant and I just wonder if the condition with your PSA rises and stomach are connected.

    I think I would be asking that question. The other issue is that with the PSA being so low - it would be impossible to find it on a scan. Perhaps go to 3 monthly PSA's and keep checking.

    I hope the above helps - happy to discuss further.

    Best wishes - Brian.

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  • Hi Brian,

    Thank you for getting back to Me.

    I will make a list and add your ideas to them

    I think that the 3 monthly PSA is a great idea and will ask for the necessary blood form.

    I will get back to you and let you know the outcome moving forward.

    Speak soon

    Kindest regards

    Spud