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07 June 2018 @ 09:03 am
D-day #2  
After I had my cancerous prostate removed in late 2016, the level of Prostate Specific Antigen (PSA) was meant to drop to undetectable levels and stay there, for ever. A subsequent rise in PSA would most likely indicate a return of the cancer, with the rate and extent of PSA increase being well correlated with cancer growth - either in the original site or in distant metastases.

So in February 2018, when my PSA crept back up out of the undetectable range, there was every reason to believe that this was a harbinger of my demise. The cancer was coming back to get me. My urologist, Dr K, decided to do a repeat PSA measurement in 3 month's time to see how quickly it was rising and whether it was then high enough to send me off to an oncologist.

This week I had that test, and yesterday I saw my GP, Dr M, to find out the bad news.

But it turned out that the PSA had dropped back down into the undetectable zone.



What does this mean? It could be that the non-zero PSA measured in February was a false positive, with the test detecting something other than a substance secreted by cells of a prostate. Even some women show non-zero PSA levels. Or it could be that my prostate cancer is re-growing but is only just at the threshold of detectability.

Only time will tell. The next PSA test is scheduled for September 2018, and for now I'm taking the optimistic approach and celebrating my (at least temporary) reprieve.

[Copy of my post on WordPress - comment there ]