Prostate cancer now in liver

Sorry Dad's PCa has spread to his liver. This is not usual and from my limited understanding is an organ which is not easy to treat. If he has become 'Refractory' to the HT he was prescribed, he could ask if another form of HT could be added or used instead. The consultant will be in the best position to suggest what else could be tried that is currently available or is being trialled and for which he may be a suitable candidate. No doubt Dad will ask what his options are.

Not sure about questions to ask but I would want to hear from the doctors whether:
a) adding another kind of hormone (casodex) to the existing one might slow the progression down a bit
b) whether the liver spread means that alternatives such as enzalutimide, abiraterone or radium 223 are now not possible
c) whether chemotherapy is a possibility

I would also want to ask whether the situation is now serious enough for dad to be considered more advanced than 'incurable' - if so, he might want to consider applying for some disability benefits from the Government. Also, if not already done then you could ask about a referral to Macmillan or a nearby hospice; they can help with things like practical arrangements, massage, aromatherapy, counselling for family members and pain relief (if there is a lot of pain and it is proving hard to control). Hospices should not be a frightening word - they can do lots to support people dealing with cancer and are not just for the end of someone's life.