Prostate Cancer Posttreatment Psa Spike – What To Do After That

July 28, 2009 by  
Filed under Prostate Cancer Test

Most prostate cancer patients are aware of the importance that oncologists and urologist place on the PSA level scores once they have been diagnosed. The average man has a PSA count that is below 4ng/ml, and anything exceeding that level is normally treated with extreme suspicion. Although there are certain number of other prostate disorders that could result in a higher PSA level, such as an inflammation or a benign prostate hypertrophy, they often still go ahead and test for prostate kind of cancer because it is easily the most deadly.

A biopsy might be the best way to ascertain that a man has this disease, but the PSA level is very helpful in determining what level or stage the carcinoma is at before treatment is commenced; and once the treatment is completed or concluded, the patient really should have a PSA level of 0. And that is the catch. In some instances, several in fact, the PSA test does not reveal lower levels at all.

Now while this might be as a result of some other infections, chances are that the patient was not properly diagnosed and the prostate cancer he was treated for was at a higher level than was staged. Worse, it could actually be that the cancer was simply a very aggressive one that appears to simply be relapsing in spite of the best interventions accorded. To that end, other interventions have to be sought.

In the case of a prostate type of cancer post treatment PSA spike, there are lots of prostate carcinoma treatments that are viable, especially if the malignancy is determined to still be confined to the prostate. Much depends on the initial treatment given – prostatectomy, radiotherapy, or hormonal treatment – although they may still be applicable in such instances. However, the most common treatment by consensus for recurring prostate problem is chemotherapy, which essentially uses anticancer drugs to effectively kill the cancerous cells.

Hormonal therapy and chemotherapy generally are reserved for disease that has spread beyond the prostate gland into the bloodstream and lymphatic system. The exceptions are when radiation therapy is used for some very advanced tumors to cause cell apoptosis, and when hormonal therapy is used for some early stage tumors to slow the growth of the tumor.

In certain cases, the newly improved cryotherapy or cryosurgery may be combined with hormone treatments and chemo if initial treatment fails and the cancer progresses. The worst stage of prostate malignant tumor, in which the cancerous cells have become hormone refractory, may require the blend of even more treatments, such as immunotherapy and high intensity focused ultrasound in order to achieve even a semblance of cure. But not everything that can be known is known about prostate cancer treatment, hence more researches at this time.

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2 Responses to “Prostate Cancer Posttreatment Psa Spike – What To Do After That”
  1. Shawn says:

    I had prostrate cancer 2 yrs ago and had it removed. I have recieving hormone treatments. On my last psa test the reading was 0.57 up from 0.40 is that a bad reading

  2. ProstateCancerVictory says:

    The increase will depend on lots of factors because PSA varies for different individuals, depending on other variables. But, yes, it’s not a good sign, but it’s not that bad either. What to do is to talk to your doctors right away for series of more thorough tests and the next steps to take.

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