Secondary liver cancer from prostate cancer

For the last four years my dad has had a nodule on his liver and its never caused a problem. On 28th February my dad was told that there is a 2cm lesion on his liver and that if he doesn't have chemo he could be dead in a year.  As a family we are obviously very angry and upset with the oncologist as she has basically dismissed every treatment suggestion in the past that my dad has made and now seems to be writing him off. He is 70 this year and we can't lose him because his doctor seemingly can't be bothered to refer him for any other treatment to remove the lesion and is only going down the chemo route.  She never bothered following up on him when he had chemo last year and my mum has had to chase her to organise blood tests and scans when my dad complained of bone pain. He is seeking a second opinion but realistically what are the chances of his oncologist being wrong about his prognosis and should we make a complaint about her? 

  • Hello and thanks for your post,

    I am sorry to hear about your dad and his situation. This must be a difficult time for your family.

    It is quite hard without being involved in his situation to know what has happened but I can understand that your family are keen to know more. 

    With your dad's permission if you haven't had a chance to discuss this with his oncologist I would start with this first. Cancer can be unpredictable and it is not always very straight forward in working out what treatment can be best for a patient. 

    I am not sure what follow up your dad had after his initial treatment but we do have some information on our website about following patients up after prostate treatment which you can see here

    ProstateUK also has information on general follow up for patients which you can see here

    There maybe a reason why the doctors can't remove the lesion on his liver. Sometimes the lesion can be in an awkward area which is difficult to access but of course I can't be sure. The doctors may also have had concerns about your dad's health in performing surgery.

    With your dad's permission you could also try and talk it through with his GP. His GP should have received regular updates and information as to how he was being followed up. We have some information on getting a second opinion which you can see here

    Prognosis (outlook) can be a difficult thing to predict. Oncologists can only base there assessment on other patients with a similar cancer and their outcomes. Oncologists can have a good idea but it is difficult to be completely accurate. There are other factors such as a person's general health and how they respond to any treatment that they are given. We have some information on survival for prostate cancer which you can look at here

    I can understand that it is a difficult decision deciding whether to complain about someone's treatment and follow up. Do discuss this with your dad to make sure that he is comfortable about taking this further.

    If you do decide to complain about how someone is treated then we do have some information about how to go about this here

    I do hope that some of these links maybe helpful. 

    You and your dad are more then welcome to ring and speak to one of the helpline nurses if you would like.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    All the Very Best,

    Catherine