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PSA level jump???

8 years 7 months ago #36939 by jj803
While it is not uncommon for PSA to be elevated during and after bcg therapy in the bladder, it probably does deserve close follow up. Prostate ca is quite common in men in the age group that have bladder cancer and most of these are low grade. Glad that there will be repeat testing.

jj

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8 years 7 months ago #36870 by Alan
Nanci,

You are correct. A quick jump would normally indicate an infection.

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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8 years 7 months ago #36831 by nancikay
So we are back from the doc.

He is not concerned about the PSA. He said he would be more concerned if the PSA had been gradually going up rather than a sudden jump. He will recheck the PSA before the next cysto in 3 months and if it is still up will do a biopsy. Otherwise we're on track for the next BCG which is the 12 month.

I also got some info for a caregivers support group so I'm going to check that out. I need some face to face support for sure!

Thanks as usual for everyone being here.
Nanci

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8 years 7 months ago #36830 by mmc
As you've seen from others already, it is normal when on BCG.
Infection can also cause elevated PSA.

I had a couple of biopsies done on mine because they found some lump when they did one of my TURBs. (Why they were checking that, I have no idea). It was just some sort of inflammation though. Not that it would matter now, since they removed my prostate later when they took my bladder out.

Since the doctor is aware and knows why, it is just something to note and then keep an eye on. If the doc has any suspicions, he would probably do a biopsy. Not fun but not so terrible either. It's an in the office procedure.

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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8 years 7 months ago - 8 years 7 months ago #36821 by Herb
I had same heightened PSA after BCG and I think did same after Chemo but they were back to back --- I understand your freakin' out, my wife also had more difficult time with any news that was possibly 'bad' news --- loved ones sure go through hell but your support makes all the difference, freaking out and all are just part of the winning team approach :-) take care, Herb

Age 72 had radical 9/11/10 have conduit everything is fine, grateful to be a cancer survivor. Lost Dad and Brother to Cancer both in their 50's.

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8 years 7 months ago #36818 by Patricia
Yep its normal for PSA to be elevated in about 40%..could be higher of patients on BCG..it should return to normal 3 to 4 months after discontinuence
http://www.uptodate.com/contents/complications-of-intravesical-bcg-immunotherapy/abstract/24
pat

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