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Devastating News

User
Posted 11 Oct 2016 at 13:11
Hii I wrote at the end of last week to say that my husband had a rectal exam for piles but it had showed suspect hard area. He was sent for immediate PSA test and we were called for urgent consultant appointment today.

Unfortunately the PSA reading was 6006 and the Dr said it is too late to do any surgery.

They are going to start hormone surgery immediately and do bone scans, biopsy and Mri.

The Dr was very matter of fact. Nurse much nicer.

I am heart broken.

Can anyone offer any hope x

User
Posted 11 Oct 2016 at 13:50

Yes he will be dealt with by oncology now rather than urology.

User
Posted 12 Oct 2016 at 22:12
Hi, I also had a 6 point biopsy. I asked the doctor why he stopped at 6 (I was quite pleased as it's somewhat painful) , he said that they usually do 12 to make sure they get a fair picture of the spread and growth speed but in my case it was obvious that my prostate was riddled with it so he didn't see the point to do any more ( not so pleased).

I guess that as my seminal vessels had already packed up that indicated that my prostate was pretty well saturated with cancer as all 6 were positive.

Not the best news but as I said on your other thread yesterday, I have had 2 good years since and live for every day now with hopefully a load more good days to follow.

If you feel ok physically today then today is a good day, I find the mental battle is one I have to win every morning when I wake and once I have done that then it's a good day.

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

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User
Posted 11 Oct 2016 at 13:24
Oh Sally, you are at the worst point at the moment.

Your OH will have to have a lot more tests to determine exactly what is happening and what the treatment plan will be.

It is good news that they have started him on the HT already whilst they investigate further. This will start to put the cancer to sleep immediately.

Download the Toolkit off this site and other members will be along shortly to reassure you.

Alison x

User
Posted 11 Oct 2016 at 13:37
Hi Sally, there will be lots of questions you want answered and at the moment you are in shock, call one of the nurse's on the website this afternoon and they will help you get things a little straighter also once a treatment plan is started it feels like something is being done. Take care Jayne x
User
Posted 11 Oct 2016 at 13:50

Yes he will be dealt with by oncology now rather than urology.

User
Posted 11 Oct 2016 at 16:32
Hi Sally,

Firstly I want to say how sorry I am that you find yourself here with the news that you have just had.

Is there any Hope ? Of course there is.

Trevor was diagnosed in May 2013 with a stating PSA of 13000 , he has multiple bone mets as well and like you we were devastated thinking at the time that he probably only had weeks at the most.

So fast forward 3 years and here we still are , ok the road has been Rocky in places and it hasn't all been plain sailing but Trevor is still able to do most things .

Keep your chin up , I remember vividly those early days and weeks once you get scans , tests and results out of the way you will feel better and more able to cope. I promise.

BFN

Julie X

NEVER LAUGH AT A LIVE DRAGON
User
Posted 11 Oct 2016 at 16:45
Thank you so much for all the replies. Particularly Julie. I am really sorry that your husband has been going through this too but I hadn't seen anyone else with such a high PSA so I am really grateful that you took the time to send a message.

I rang the prostate UK number earlier and got through to one of the nurses who was very useful so thank you to the person who suggested that x

User
Posted 11 Oct 2016 at 17:10

Sally I am so sorry .I too was told had an enlarged prostate ,have a turp consultant said that would cure it. Four weeks later sitting in his office saying the words prostate cancer my wife nearly fell on floor we were silent on the way home because we couldn't think straight thank god for this site. Lovely people going through it too Jonny

User
Posted 11 Oct 2016 at 17:14
Thank you Thistle for your hopeful message. I'm really glad you have have good time with your husband since his diagnosis.

We are at a hospital that is directly linked to the Marsden (same consultants) so I am assuming that is a good thing in terms of standard of care (?)

One question I forgot to ask today. They are doing a CT scan rather than an MRI - does anyone know the difference or reason?

User
Posted 11 Oct 2016 at 18:32

MRI are better at close-up detail of a specific organ or a certain area of the body. Full body scans can be done this way but take a long time both to do and then assess afterwards. A full body CT takes minutes and a special dye is injected which readily shows up issues. An MRI would then be done as a follow up to give detail. Hope this helps

User
Posted 11 Oct 2016 at 18:46
Thank you Chris
User
Posted 11 Oct 2016 at 20:20

Ct scan would be looking for spread in the soft tisssues and a bone scan looks for spread in the bone. Outcome of both determines the extent of spread and helps in treatment plans. Always difficult waiting for tests but hold on as it becomes clearer once they have been done. It may not seem like it but there are many on here who continue to fight on. I have bone mets but nearing five years now.

User
Posted 11 Oct 2016 at 20:30
Thank you for that extra info.

I am struggling with the fact that it is so hard to find details of men who had such high PSA levels, I know I need to try and stay positive but that is making it even more difficult.

User
Posted 11 Oct 2016 at 21:19

You won't find many examples on here - yours is probably the 2nd highest we have ever had on this forum after Trevor. On the up side, my husband's urologist once had a man diagnosed with a PSA of 160,000 and in Ireland there was a man with a score of 120,000. You could look at YANAnow website (you are not alone now) where you can search members by their details - that might pull up some other cases.

Staying positive is important but it can cause more distress if you put all your efforts into convincing yourself that it will come back as early stage and easy to sort out, only to be devastated when the rest of the results come through. Knowing how much spread there is, and where, will make a massive difference to you both - as already said above, some men are diagnosed with bone spread but are still around - living with it - 10 or more years later. Others can be diagnosed with a very low PSA and a few soft tissue mets but sadly only live a few months. There is no way really to predict which is which.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 11 Oct 2016 at 21:33
Thanks Lyn

After the initial shock this morning I think it is slowly starting to dig in just how serious it is. I keep looking at our teenage children who adore their dad.

User
Posted 12 Oct 2016 at 14:36

Does anyone know anything about them doing a 6 point biopsy instead of a 12 point?
We are assuming it is because they already know that the cancer will be all over the prostate so they dont need as many points. Does anyone know? Thank you

User
Posted 12 Oct 2016 at 22:12
Hi, I also had a 6 point biopsy. I asked the doctor why he stopped at 6 (I was quite pleased as it's somewhat painful) , he said that they usually do 12 to make sure they get a fair picture of the spread and growth speed but in my case it was obvious that my prostate was riddled with it so he didn't see the point to do any more ( not so pleased).

I guess that as my seminal vessels had already packed up that indicated that my prostate was pretty well saturated with cancer as all 6 were positive.

Not the best news but as I said on your other thread yesterday, I have had 2 good years since and live for every day now with hopefully a load more good days to follow.

If you feel ok physically today then today is a good day, I find the mental battle is one I have to win every morning when I wake and once I have done that then it's a good day.

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

User
Posted 13 Oct 2016 at 01:05

sometimes, the most important thing about the biopsy is to check what type it is rather than how much there is. There are at least 27 types of PCa and some of them (the rarer ones) need a different kind of treatment to the rest. 6 points will be enough to test for type.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 13 Oct 2016 at 08:00
When my husband had the biopsy, the nurse told him that she was positive that cancer wa present. That was ten years ago and he's still going strong so chin up the HT Is keeping it at bay.
User
Posted 17 Oct 2016 at 20:03
Hello everyone

We are still really struggling to come to terms with everything but things have moved forward a little.

Completed : CT scan, bone scan.

MRI and 6 point biopsy due to happen on Wednesday.

28 days worth of Bicalutamide started last Friday (1 a day)

1st injection due to happen this Friday. (Think it might be Zoladex but will double check that on Friday.)

We now think that a long standing back injury has masked the bone cancer (that we have been told to expect) :-(

The back pain also seeks to have worsened over the last couple of days. Not sure is this is hormone tablet side effects or the psychological impact of it being 'cancer' pain if that makes sense. Also very very tired.

I have been looking at info re

abiraterone (zytiga) - does anyone know if it is only available via the stampede trial (which is now full for that option)?

Sally x

Edited by member 17 Oct 2016 at 20:44  | Reason: Not specified

User
Posted 17 Oct 2016 at 22:56

I would want some reassurance that the long standing back injury really was a long standing back injury and not a mis-diagnosis, but the scans should confirm which.

Abiraterone and enzalutimide are for men that have become hormone-resistant; that is, the hormone treatment has stopped working because the cancer has learned to survive without testosterone. Fortunately your husband is not at that stage yet.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 17 Oct 2016 at 23:02
Hi Lyn - thank you for replying and for the drug info.

We already know that the original back pain was due to severe disc damage - a number of different scans and MRIs confirmed this at the time. What we don't know is if the pain from that masked cancer pain too.

User
Posted 19 Oct 2016 at 11:35
We have had some more difficult news. The repeat of the PSA test showed an increase of 700 up to 6700 in a week. I am finding it very difficult to cope with this as it obviously indicates very aggressive growth.

Does anyone know if there is still a chance that the hormone treatment could reduce the PSA or is that unlikely ?

User
Posted 19 Oct 2016 at 15:03

Sorry but I don't know a specific answer but if the first zoladex jab was last Friday and you have a new PSA test a few days ago the zoladex has not had a chance to get going. The zoladex is more powerful than the biclutamide in getting PSA down normally.
As for the rise itself, it looks bad because the numbers are so high to start with however what it does indicate is that the PSA increased by 11% in a week. Whilst that is not great it would indicate that the doubling time of the cells is 9 weeks, some peoples double every week ( mine did briefly before the drugs started to work although my score was much lower in the first place).
Remember your dads situation has not been spotted until it has had a chance to get to 6,000, to put it in perspective, if it had been 12 last week it would now be 13.
Everyone is different and I totally understand why everyone is concerned, maybe the zoladex won't work or maybe it will work spectacularly ( mine went from 342 to 8 in 3 months) , at this stage you sadly need to wait and see.
The docs may have other ideas as to other intervention now but they may also want to wait.
The results from the scans will help understand, the biopsy is likely to confirm there is a lot if quite fast growing cancer but you kind of know that already, it's the MRI that will show you the spread and then they can plan how to target it.
Right now ( and this is easy to say) just try to be together as a family as much as you can and enjoy each day you can, let ignorance be bliss rather than sad.
My thoughts are with you and your family
Kev

Dream like you have forever, live like you only have today Avatar is me doing the 600 mile Camino de Santiago May 2019

User
Posted 19 Oct 2016 at 15:27
Thank you for the thoughtful reply Kev.

(It's my husband not my dad)

He has just had the biopsy and they only took 4 cores to grade the cancer.

I'm assuming this is because the MRI showed cancer all over the prostate so there was no point doing any more :-(

I was going to ask if anyone else has had only a 4 core biopsy but I feel that I am increasingly clutching at straws.

User
Posted 19 Oct 2016 at 21:01

Hi Sallyyy - just picked up on your messages - my o/h diagnosed Xmas Eve and had his first injection then - he was referred to Oncology and put on STAMPEDE Trial.  His PSA over 4,000 and Gleason 4 - he has done really well and Oncologist and support staff marvellous particularly the Sisters' at The Hospital.  The cancer kept itself so well hidden and I felt and still do quite angry with it - stupid really but I have to be honest.  However, people are so supportive on this web site and it has given me courage and comfort in the fight - the o/h won't discuss this much!!  So, when people say there is hope, there really is - so you take care and take courage.  I dip in and out of this site am a bit of a nerd with this technology, and hope that's made you smile a bit !  Take care

User
Posted 19 Oct 2016 at 21:06

Okay - was the new PSA test done at the same time or just after the biopsy? If so, much of the rise could be down to that. It is too early for the PSA to be sinking rapidly with the hormone treatment - HT needs a bit longer to work because it starves the cancer rather than killing it.

I don't think you are at the stage of straw clutching yet - as said above, try to do happy things and put the guessing to one side for a little while. After your next appointment you will have a clearer idea of what is happening.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 19 Oct 2016 at 21:20
Sorry I should have been clearer. The 2nd PSA test was done a week ago (one week after the original test) but we only got the result today. It was 2 days before starting the hormone tablets so we knew there was no possibility of an improvement - but we were just upset that it had risen so dramatically in 7 days from what was already a very high point.

Thank you for adding your story Jackie. I'm glad your husband is doing ok on his treatment

x

Edited by member 20 Oct 2016 at 22:41  | Reason: Not specified

User
Posted 20 Oct 2016 at 14:51

Thanks Sallyyy - take heart Lynne E has it on button as it were - and we are in the club no one really wants to join.   By for now and take care xx

 
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