Father has 3624.0 TOTAL PSA ... Is cancer the only reason for this high level?

[JeanieDCook]

My fathers PSA TOTAL level came back 3624.0.  He had a prostate biopsy yesterday.  I am confused .... seems like anywhere I look on the internet ... 10.0 is considered high ... I see some postings talking about high levels and the highest I've seen was 45.0 ... Is it possible to have a PSA that high ... If yes ... does it most likely mean he has cancer that has spread beyond the prostate?    Thanks.  JeanieDCook

[JeanieDCook]

His biopsy came back 8 out of 10.  He has lost a lot of weigh, noticablly in pain, I am not sure of all the symptons ... he is a very private man.

His CT of abdomen came back with the following results:

Bilateral renal cysts are noted. Generalized thickening of the urinary bladder.  Marked prostatic enlargement.  
Bilateral externaliliac adenopaty.
Calcific atherosclerosis.
Sclerotic changes involving the right iliac bone are noted, the etiology of which is uncertain.

Does it look bad?

[Ash Tewari, MD, M.Ch.]

A PSA of 3624 is extremely high but not unheard of. Your father did the right thing by going to a urologist and having a prostate biopsy performed.  This will provide further information as to why his PSA is so high and can determine if there is indeed cancer present.  If prostate cancer is the diagnosis, your father may need additional imaging studies to determine if the cancer is metastatic (spread beyond the prostate). These tests include a bone scan, CT scan of the abdomen/pelvic (perhaps lungs), and an endorectal MRI to image the prostate better. Is your father having any symptoms such as bone pain, headaches, visual disturbances, trouble breathing, or loss of weight?

[JeanieDCook]

He just turned 82 on the 9th of this month.... refused to go to see a doctor until finally he gave in ... Is it too late for him since his PSA level is 3624.0?