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Cancer: Prostate Message Board
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Old 11-09-2012, 07:14 PM   #1
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dank7365 HB User
fast rising PSA

I had my PSA checked in July and it was 1.2. I was just at my Urologist's office and he told me it is now 7.8. He did the digital exam and found a hard lump on the left side. I have a Biopsy scheduled. I have had two other biopsy's done in the last three years. But he has never felt the lump. My question is how serious could this be?

 
Old 11-10-2012, 06:21 AM   #2
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Pratoman HB User
Re: fast rising PSA

Dank, i'm no expert, in fact i just joined this forum, and am going through something similar to you. My readings are more of a slow gradual increase over 3 years, no problem found with the DRE
While i am no expert, i have done a ton of reading in the last few days, both here on the forum, and elsewhere. With a sudden spike like that, they often prescribe a regimen of antibiotics and wait to see if the psa goes down, because it could indicate an infection. But with your doc finding a lump, i can understand they would do the biopsy right away, before eliminating other issues.
It could be nothing, from what I've read, sometimes BHP results in a hard spot on the prostate. But, don't screw around, get the biopsy done.

I am seeing another doc for another opinion, (psa rising from .7 in 2009, to 2.2 now, thats my only symptom). But i am inclined to get a biopsy done quickly after that, unless he tells me not to.

 
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Old 11-10-2012, 08:46 AM   #3
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RBK1111 HB User
Re: fast rising PSA

Quote:
Originally Posted by dank7365 View Post
I had my PSA checked in July and it was 1.2. I was just at my Urologist's office and he told me it is now 7.8. He did the digital exam and found a hard lump on the left side. I have a Biopsy scheduled. I have had two other biopsy's done in the last three years. But he has never felt the lump. My question is how serious could this be?
As somone who has engaged in Active Surveillance for the past 2+ years, I have learned a few things. First, confirm a diagnosis. The urologist has limited knowledge and skills, so even if a "negative" result, and the very real possibility that the "spike" resulted from more prosate tissue (there is a correlation between prostate mass and psa ) get some biopsies for a lab analysis. Use a specialized laboratory such as Bostwick Laboratory -4355 Innslake Dr. Richmond, VA 23060. I believe the biggest mistake any of us make when first diagnosed (if, in fact, you find cancer) is acting rashly. There are many sites like Yana, sharing personal experiences regarding choices, treatments, and outcomes, of thousands of people, and a plethora of data regarding additional medical procedures to determine severity (grade of) cancer, that all need to be understood and utilized before any decision is made. I/we empathize with you. I live with what I call the "uninvited guest", and some simply need to remove it. Again, at the moment, you do not know what the story is and need more information. Best wishes

 
Old 11-10-2012, 07:49 PM   #4
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Re: fast rising PSA

Quote:
Originally Posted by RBK1111 View Post
As somone who has engaged in Active Surveillance for the past 2+ years, I have learned a few things. First, confirm a diagnosis. The urologist has limited knowledge and skills, so even if a "negative" result, and the very real possibility that the "spike" resulted from more prosate tissue (there is a correlation between prostate mass and psa ) get some biopsies for a lab analysis. Use a specialized laboratory such as Bostwick Laboratory -4355 Innslake Dr. Richmond, VA 23060. I believe the biggest mistake any of us make when first diagnosed (if, in fact, you find cancer) is acting rashly. There are many sites like Yana, sharing personal experiences regarding choices, treatments, and outcomes, of thousands of people, and a plethora of data regarding additional medical procedures to determine severity (grade of) cancer, that all need to be understood and utilized before any decision is made. I/we empathize with you. I live with what I call the "uninvited guest", and some simply need to remove it. Again, at the moment, you do not know what the story is and need more information. Best wishes





Thank you
My Urologist is getting me in asap. The Urologist I go to is thru Southern Illinois University School of Urology. So I am in good hands!!! The Dr. had suggested another PSA , but when he did the DRE and took longer doing it I knew something was wrong.

 
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