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Urology (Expert Forum)
No change in PSA after rdiation - why?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
No change in PSA after rdiation - why?
by RMMJ, Jun 03, 2006 12:00AM
My dad recently finished 7 weeks of radiation, after having his prostate removed. A Prostascan found a few cells in the fatty tissue under the prostate after it had been removed. He went for a follow-up PSA last week and it was 0.5, the same level as before the radiation. What could this mean? The doctor wants to re-do the PSA in three months.
Doctor's Answer
by Kevin Pho, MD, Jun 05, 2006 12:00AM
, Jun 05, 2006 12:00AM
After a radical prostatectomy, the PSA should fall to undetectable levels. Presence of PSA theoretically means prostate, and possibly diseased, tissue remains.
If radiation therapy alone was done, a low-level PSA can fluctuate after treatement.
I would discuss this question with your father's urologist. Repeating the PSA is a reasonable thing to do.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
If radiation therapy alone was done, a low-level PSA can fluctuate after treatement.
I would discuss this question with your father's urologist. Repeating the PSA is a reasonable thing to do.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
