83 year old husband diagnosed with metastatic prostate cancer 3 years ago

Hi there, since Mike's diagnosis nearly three years he started chemotherapy and until last month his PSA remained well within the normal range. HOwever the latest PSA was 2.6 which necessitated a bone and ct scan.  The results were not good which showed a new intra-abdominal lymphadenopathy suggesting disease progression. Mike will start on Enzalutamide tomorrow , however he is now having some pain in his right side at the lower end of the back. Its not bad enough to take pain relief. Mike is a very active 83 year old, he continues to play tennis twice a week and badminton once a week. My concern about the pain is worring me - will the Enzalutamide help keep the cancer cells stable. I am completely worried and just need some answers please. I know the cancer is spreading but what is the prognosis?. 

  • Hello and thanks for your enquiry,

    I can appreciate your concern about your husband's situation and treatment. The treatment will be given with the aim of slowing down the cancer progression for as long as possible. Patients respond differently, so everyones experience of treatment will differ a little.

    If he is experiencing any pain currently, then do encourage him to report it to his doctor. This symptom may or may not be related to his cancer. It could be unrelated and due to a Musculo- skeletal issue, but his doctor can check this out for him. Unfortunately, we are not involved with his direct clinical care, so we can't really comment on his outlook (prognosis). That is something that his specialist, or his clinical nurse specialist (CNS), can explain to you in more detail.

    I am sorry we can't be more specific on this occasion.

    Kind regards,

    Vanda