Prostate cancer that has spread

Hi, My older brother was diagnosed with prostate cancer, stage 4, 

It has now spread to the bones, lungs & lymph nodes, 

he also has diabetes, he refuses to let anyone come to hospital appointments with him so we are all in the dark about prognosis or what is next, he doesn’t want to know how long he’s got. 

All I know is he hasn’t been offered chemo or radiotherapy, but is having hormone treatment. 
I know he’s in pain, and is very tired but it’s hard to know how to help, he doesn’t have any other family either so only me. 

I just want advice on what happens next and what to expect, I feel completely in the dark. 

Thank you 

  • Hello and thanks for posting

    I’m sorry to read about your brother’s situation and can appreciate you wanting to find out more about his situation.

    I understand you have some questions, but these really are best answered by your brother’s specialist team. They have all the information about his cancer and will be able to give you a better idea about his situation. Doctors are usually happy to speak to relatives provided they have the patients consent.

    Unfortunately when a cancer has spread to other parts of the body, any treatment given is to try and control the cancer and any symptoms for as long as possible.

    Doctors predict how long someone may have left according to the level of disease they have and from previous patients in similar situations but sometimes patients live much longer than expected whereas others may sadly pass away much sooner. 

    People often want to know what more they can do to help. Sometimes it can be better to ask your brother what he would find most helpful for you to do for him. For example, he may be really appreciative you keeping in touch by phone or text. If you live close by, he might appreciate you doing some practical things for him such as doing some light housework, or getting shopping in, or preparing meals for him. You can offer to do one or two of these things but do bear in mind we can only do what someone allows us to do.

    I wonder what support your brother has at home and if he has a Macmillan or palliative care nurse involved in his care. Their area of expertise is in the management of cancer symptoms such as pain as well as supporting him and family with the emotional effects of cancer. They can also advise on what may happen over the coming weeks or months. If your brother would like access to a Macmillan or palliative care nurse his GP or the hospital can arrange this for him.

    I hope this is of some help. 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