Hi Everyone,
First-time posting here—like many, I’ve tended to shy away from cancer until it was staring me in the face.
My dad has been diagnosed with Stage 4 metastatic prostate cancer, which has spread to a single site on his pelvic bone (1cm tumour). I understand this isn’t curable, but with the right treatment, many men live for years. His PSA is quite high (80+), suggesting potential for fast progression, but the limited spread (oligometastatic) gives us some hope.
He’s fit, active, and otherwise healthy—loves golf, walking, and staying on the move. He doesn’t smoke or drink, so I’d like to think his body can handle treatment well.
He started on hormone therapy (ADT) and has tolerated it fine so far, but following his PET scan, it’s clear this won’t be enough long-term. Now, he’s faced with treatment decisions, and I’d love to hear from anyone who’s navigated similar choices.
The three main options presented were:
1. Hormone therapy only
2. Chemotherapy + hormone therapy + androgen inhibitors(aggressive approach but with more side effects)
3. **(Waiting for confirmation of this one but think more tablet led and possible radiotherapy)
many thanks
