Has prostate cancer, PSA increased. On hormone therapy and radiation. Done blood test. What is wrong?
Patient: Thank you for being there.  We are beside ourselves.  My son-in law has prostrate cancer; 2009 he had a prostectomy, 2011 radiation, and now his PSA has doubled (1.3 > 2), Gleason of 9.  Before he has any more surgery, radiation, or hormone therapy - we'd like to rule out any fungal issues.  Is there a doctor any where in West Michigan that understands the antifungal issues that impact prostate cancer?  My son-in-law is active, healthy, wife and 3 beautiful children (13, 15, 17).  Could the last blood test have been "wrong"? Doctor: If the PSA is 2.there is nothing to worry., because the upper limit of normal(ULN) 4ng/ml, but you should repeat the PSA., then consult your oncologist.