Prostate cancer and bone mets with a low PSA?

I'm asking for a close family friend. He had locally advanced prostate cancer diagnosis a year and two months ago. A bone scan showed nothing there, but he had one lymph node tumour. He has had hormone treatment and radiotherapy. His last blood test showed his PSA was only 3.8. However, in recent weeks he has gone down hill rapidly. He has almost constant lower back and hip pain and now rib tenderness. He had night sweats last night and we are all very concerned. My query really is, would it really be possible for it to have spread to bones in such a short amount of time and would his PSA be that low? I feel like no matter what he says to the GP, he is fobbed off and despite speaking to 111 today and being sent to a walk in centre, he's been sent back home with basic pain relief. His oncologist is also not really doing anything in any hurry. 

  • Hi Eddie

    So my mum's partner has been diagnosed with malignant spinal cord compression. They think they may have missed a tumour in his spine when he was diagnosed over a year ago. Based on this and him being stage 4 now, do you know what kind of treatment he might be looking at now? 

    Thanks

  • Hi Vicki_76, I am sorry to hear your mums partner has MSCC, Vicki as I don't have your mums friends medical notes and i am not a professional, I would only be guessing, All i can say as my stats are a little worse, and i have had 3 scans on my lower spine for possible MSCC, and my only treatment will be palliative when the pain gets too much. As for MSCC, there is a lady on the forum who's husband has had MSCC for some time who you could talk too. her username is Prim-rose, take care.

    Eddie

  • Please push for an MRI, my father suffered more that he should have in 2019 while we waited for an MRI. 

  • Hello Vicki and thanks for your post

    I'm sorry to read about your mum's partner.

    Doctors usually need to treat spinal cord compression promptly before it causes long term nerve damage. You can read more about this here.

    As nurses, we don't recommend treatment. We always suggest patients discuss the best treatment options available with their specialist team. We have information on our website on advanced prostate cancer and how it may be treated here.

    I hope this is of some use. Give us a ring if you would like to talk anything over. 

    The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene