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Urology  (Expert Forum)
 | 
rising psa with no prostate!
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. 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.

rising psa with no prostate!

by r0385965, Jun 02, 2006 12:00AM
i was diagnosed with prostate cancer one year ago, it was surgically removed along with the lymph nodes, which were clear.  Recently my psa has risen to 2.9, and i have that same uncomfortable feeling i did before my surgery, also, i have blood in my urine.  I am worried about my cancer metastasizing as it was very aggressive.  Should i be worried about my cancer returning or are these syptoms indicative of something else?

by Kevin Pho, MD, Jun 02, 2006 12:00AM
Spread or reoccurence of the prostate cancer is the most concerning cause of this finding.



Tests to evaluate for this scenario can include a CT scan, bone scan, or ProstaScint scan.  



An additional option would be a transrectal ultrasound and biopsy of suspicious area.



Because of the serious nature of reoccurence, the source of the PSA needs to be found.



These options should be discussed with your urologist.



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_
Member Comments

by losst, Jun 22, 2006 12:00AM
To: Prostate Cancer
0

by justlthat, Apr 16, 2008 01:08AM
A related discussion, Causes for PSA was started.
Continue discussion
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