HI Everyone

My almost 79yo Father in Law was diagnosed with prostate cancer a few weeks ago and following a bone scan we found out yesterday that his ribs are showing signs that it has spread.  We have been told that it is at stage 4 (because it has spread), and that the treatment is hormone therapy (he is starting Bicalutamide today and will be getting his injection in a couple of weeks). The diagnosis isn't made any easier by the fact that I'm not sure he actually understands what is going on (he told a family member that he wasn't told anything except that he was being given a different injection for his type 2 diabetes - which he wasn't - luckily my partner is going to all these appointments with him).

Having read some leaflets about TNM staging and Gleason Scores etc - we haven't been given any of this information, as he didn't have a biopsy or any other scans (MRI or CT) - is this because after a DRE it was obvious that the cancer had spread or should he have been given these tests? We do know that his PSA was at 244.

We were given a stack of leaflets, which I haven't had chance to read yet - I'll do this over the weekend when I have far more time. Are there any other resources that have been invaluable to you? 

Thank you.