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Why is my PSA Fluctuating?

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Does anybody have any theories as to why my PSA dances around? My previous

urologist said he didn't know. The latest swing seems profound. I'm in a new

town, and my new urologist is in too much of a hurry to answer questions. I'm

doing watchful waiting/active surveillance. Apart from prostatitis, what might

be the explanation? Here are my numbers.

1992 PSA 0.58

1996 PSA 1.0

11/2001 PSA 0.83

11/2002 PSA 1.0

11/2003 PSA 2.2

12/2003 Biopsy = High Grade PIN

06/2004 Biopsy = Adenocarcinoma

11/2004 PSA 0.8

01/2005 PSA 0.8

04/2006 PSA 1.7

10/2006 PSA 2.8

10/2006 Biopsy = All sites were benign

03/2007 PSA 1.2

11/2007 PSA 1.0

03/2008 PSA 1.2

11/2008 PSA 1.0

04/2009 PSA 1.11

10/2009 PSA 2.06

02/2010 PSA 1.33

08/2010 PSA 7.86

09/2010 Biopsy = High Grade PIN

01/2011 PSA 1.35

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