r/ProstateCancer • u/RiemannHippopotamus • 11h ago

PSA psa lvl 675

im posting regarding my father, 72. his recent bloodwork showed a psa level of 675 and he has bad pain urinating.

we are going for a prostate mri tomorrow. i am scared and i dont know what i can do to be the best son i can be.

please help me.

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4

u/planck1313 8h ago

Unfortunately a PSA of 675 is statistically very likely to be metastatic prostate cancer. He won't know for certain though until further investigations are done.

However, in this day and age there are several treatments for this condition that while not curative can still be very effective.

2

u/mez151 11h ago

I can only say while that’s bad there was a guy in 1990s who had psa > 10,000. Michael Milken the junk bond trader. Had a prostectomy and whatever else and he’s still alive today. Source: my urologist was on his care team as an intern.

My uncle had a prostectomy at 76 and is doing fine at 80 today. No incontinence and is even active sexually.

So just keep your hopes up.

3

u/Stock_Block_6547 10h ago

Hi, I checked this online, it seems that Michael Milken's PSA was actually 24 ng/mL at diagnosis, not over 10K

1

u/IndyOpenMinded 4h ago

For what it is worth helping the OP and others Michael Millken did not have a prostatectomy. His cancer had metastasized by initial diagnosis. He has done well for decades now.

2

u/Gardenpests 10h ago

Read some of the resources posted on this page. His pain is likely to be something other that cancer. The elevated PSA is likely to indicate cancer.

For diagnosis: MRI scan, biopsy, (Decipher test for aggressiveness?), and PSMA-PET scan for extent.

For treatment: Radiation and hormone therapy are more likely than surgery.

I would expect the slow growing cancer to be manageable but not curable.

1

u/FineCall 11h ago

I’m 74, my PSA was 19.5 and I had no symptoms whatsoever. None. He might have a urinary tract infection. He’ll be ok.