Just the standard PSA test is all that is really needed. Take care, Chuck Resident of Highland, Indiana just outside of Chicago, IL. July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7. Local urologist DRE revealed significant BPH, but no lumps. PCa Dx Aug. 2011 at age of 61.
Post prostatectomy RT is when you use evidence based criteria to treat with RT after RP without waiting for failure. These criteria are based off of SWOG, EORTC and German data. They are pT3, GS 8-10, or positive margins. However, Urologists often prefer to let the patient fail biochemically before agreeing to initiate adjuvant RT.The exact PSA threshold to define failure after RP varies but
It depends on which test you use and the lab that runs it. For the ultrasensitive test (uPSA), minimum detectable is 0.01 ng/ml. For one super-ultrasensitive test, it is 0.008 ng/ml. And there are tests that go as low as 0.0001 ng/ml. However, there are no useful applications for anything more sensitive than the uPSA.
The PSE test was shown to have a specificity of 97% and sensitivity of 86%, compared with 53% and 64% for standard PSA alone, respectively. Further, the PSE test demonstrated a positive predictive value of 93%, compared with PSA's 25%, and a negative predictive value of 95%, compared with PSA's 86%.
PSA at .01 and .02ng are still very low and as noted waiting for another test is the best thing to do, anxiety associated with the waiting and anticipation aside! IMO, Do NOT look for an ultra-sensitive PSA test as it provides no useful diagnostics and only adds to the anxiety when you see that third digit move around.
My surgeon uses the ultra sensitive PSA, but I had him put a note on my chart to just tell me "undetectable" or not. Regular Member. Joined : Nov 2012. Posts : 31. Posted 12/16/2013 2:20 PM (GMT -8) I have had three psa tests since my operation. The first two were >.002. Now I have a .2 psa.
HhI1T. 423 347 17 234 427 450 267 479 272
ultra sensitive psa vs regular psa
