“…the PSA test, properly used, remains the best indicator of a cancer’s presence…” ”…..By observing how fast the PSA level increases, we get a better picture of whether cancer is responsible for the rise…” (Scardino – Pg. 143) 

Surviror Story Heading

From 1996 my PSA moved from 2.3 to 2.9 (1997), 3.3 (1998), 3.8 (1999), 4.1(2000) and 4.7 (2000). In 2000 I had my first biopsy discussed under ‘Biopsy’ below. During 2001 to 2004 I had a PSA twice/year and the level varied between 4.1 and 4.7. In 2005 I had two PSA tests within ten days and reported 7.0 and 4.6. My urologist observed I appear to have an unpredictable PSA. In June/July 2006 I had two PSA readings of 5.8 and 6.2. I met with my urologist and asked him to interpret all these readings. He said a biopsy may be in order but it was a ‘soft call’. I decided to have the biopsy!

James F. Girand


Active 73 year old.  At annual physical in December 2006 with DRE doctor found a nodule on prostate. PSA was only 1.7 but had tripled in 2 years. I had missed a year of checkup. Later found that high Gleason often leads to low PSA due to “leakage”. 

73 year old male
December 30, 2007