Stage 4 prostate cancer

Hi I live in Thailand 

I was diagnosed with pca last year after afi scan 

psa 12 Gleason 7

localised so I had hdr brachytherapy as theyreccomended .

this is the top hospital in Thailand so .

after my treatment in Jan my psa was 3. Thdn it went up to

5 after 2 months then 6 two months later .

Psma pet scan revealed it had spread to lymph nodes and small piece of bone in my leg by the pelvis .

now having radiation for nodes and bone and and I guess 

next up is hormone treatment which to be honest bothers me more 

I am 77 very fit work out in gym twice a week golf three times a week and I feel terrific .

So I want to know how a mri scan could miss metastasised cancer.at the outset .

I know my diagnosis is not good but the thought of being non mobile scared me more .

plus I not sure I still have faith in my doctors here as to my mind they missed it or messed up somewhere and at great expense 

i so I would welcome any suggestions or advice 

I would take 2 active years as opposed to having Hormone if it’s as bad as I hear .

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  • Hello Cbrccc

    I'm sorry to hear about the recent news about your diagnosis. Undoubtedly it will have been not easy to hear this and it's understandable that you have questions and concerns about the next steps. 

    It's possible that at the time of your diagnosis, the cancer hadn't metastasised or that it was so very small that it wouldn't have been detected by the scans. But it's impossible for us to say if this was the case or if there was some error in your initial diagnosis. 

    I'm going to tag in  to my reply to you here. Eddie has been living with metastatic prostate cancer for a little over two years now. You can read more about his journey by clicking on his profile but I'm sure he will pop along to share his experiences with you. There are a number of other gents posting on the forum who also have a stage 4 diagnosis and hopefully some of them will reply to your post as well but you can also use the forum search function to look for posts where prostate cancer is mentioned. 

    If it would help to talk things through with one of our nurses and you're outside the UK then I'd suggest posting in the Ask the Nurses topic area or you can contact them by email using the link at the bottom of this page. I know they will be happy to offer any advice and support they can. 

    Whatever decision you make about treatment Cbrccc, I wish you well for the future and hope that you'll be getting in 18 holes on a regular basis for a good while to come yet. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

Reply
  • Hello Cbrccc

    I'm sorry to hear about the recent news about your diagnosis. Undoubtedly it will have been not easy to hear this and it's understandable that you have questions and concerns about the next steps. 

    It's possible that at the time of your diagnosis, the cancer hadn't metastasised or that it was so very small that it wouldn't have been detected by the scans. But it's impossible for us to say if this was the case or if there was some error in your initial diagnosis. 

    I'm going to tag in  to my reply to you here. Eddie has been living with metastatic prostate cancer for a little over two years now. You can read more about his journey by clicking on his profile but I'm sure he will pop along to share his experiences with you. There are a number of other gents posting on the forum who also have a stage 4 diagnosis and hopefully some of them will reply to your post as well but you can also use the forum search function to look for posts where prostate cancer is mentioned. 

    If it would help to talk things through with one of our nurses and you're outside the UK then I'd suggest posting in the Ask the Nurses topic area or you can contact them by email using the link at the bottom of this page. I know they will be happy to offer any advice and support they can. 

    Whatever decision you make about treatment Cbrccc, I wish you well for the future and hope that you'll be getting in 18 holes on a regular basis for a good while to come yet. 

    Best wishes, 
    Jenn
    Cancer Chat moderator 

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