Hello, 

My husband was diagnosed with stage 4 (Gleason 9) prostate cancer 2 years ago. He's kept really well, had radiotherapy and is taking Apalutamide. He's 61, and was otherwise, fit and active. There was a tiny dot on his rib found at the same time.

Recently he thought he'd fractured a rib, so popped down for an XRay. No broken rib, but a shadow seen on his right lung. He was quickly seen for a CT and this morning we heard he has a 3cm x 3cm mass on his right lower lobe. Biopsy to follow. His Oncologist says as his PSA is currently undetectable, he thinks its unlikely to be a metastasis...but seems more likely to me. But what do I know....?

I try really hard to stay balanced, deal with facts, etc but I'm thrown this morning. What happens next? 

Brutally speaking...am I going to lose him sooner? Is this the start of the end? It's unbearable.

Thank you for being there.