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Michael Cox lives in United Kingdom. He was 68 when he was diagnosed in November 2008. His initial PSA was 11.2 ng/ml, his Gleason Score was 5 and he was staged T1c. His choice of treatment was EBRT (External Beam Radiation Therapy) with adjuvant ADT (Androgen Deprivation Therapy). Here is his story.

I had two biopsies in April 2009, latter one confirmed advanced local PC but showed the aggressive type.**1 Now on three month Zoladex implant - so far for four weeks, - no problems except for hot flushes at night. I continue to have my PSA monitored.


Does anyone know what the reproducibility is like for PSA test results? In other words what is the statistical error in PSA results ie, = or - how much? Is it 1, 10, 25 percent or what? My last three PSA results were before any treatment 11.2, 13.5, 10.5 but I see no reason for my PSA to drop. My GP does not know why it dropped. This made me think about the statistical error.**2

I am due to start my Radiation Therapy in mid October 2009.

Best wishes to all,

Michael

Michael's e-mail address is: michaelcox2000@aol.com

 

Note 1: It is not clear why Michael was told that his diagnosis was of an aggresive form of the disease. Gleason Score 5 diagnoses are normally regarded as indolent. On the other hand Michael may have confused Gleason Score with Gleason Grade. If his pathology report showed Gleason Grade 5 in both focii, then his Gleason Score would be 10 - associated with the most aggresive form of the disease - see Gleason Grading [back]

Note 2: The PSA test is not prostate cancer specific and can be influenced by many factors. It is not consistently accurate - see PSA 101 [back]

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