Very High PSA - Cancer Inevitable?

That seems a reasonable conclusion. The PSA is too high to be explained away by infection or enlarged gland - and the nodules are highly indicative. I am sure that Dr Google has led you to realise that there is a strong chance that the cancer (if indeed it is cancer) has spread so the doctors are unlikely to be able to commit to treatment recommendations until they have all the results back. It is dreadful waiting for results but often human nature is to expect the worst and then if it turns out not to be so bad, there is relief. On an up note, we have men on here with lymph spread who are still here 10 - 15 years later, many men with bone mets are also staying well for many years and if it is contained there are a number of curative treatment options.

If after the long wait it turns out that you simply have a very large prostate, you will know to have an annual PSA test in future.

Do be careful what you google though - many of the American sites are not relevant because diagnosis patterns, outcomes and treatment regimes can be very different to the UK and some UK companies will try to sell you a massive marketing job on false promises and snake oil. Cancer Research UK, Macmillan, PCUK are all reliably and you could also look at You are Not Alone Now, an Australian site with the most amazing search / filter functions.

In my opinion, the waiting is indeed the worst part, firstly for the Biopsy results from the Cancer specialist nurse, then waiting again for CT and bone scan results, all in all 4 weeks of worry waiting to hear results.

My case is very raw and recent, in fact I only started treatment Sunday 8th, if you would like information on anything i personally experienced from blood test to today please email me.

But the main source of  valid information on all aspects of Prostate Cancer is right here, with the experienced members.

His cancer has sadly spread to the bones & pelvic lymph nodes. The shock was truly horrific & the worst time was definitely waiting for the bone scan results, alongside telling our children. They haven’t bothered with a biopsy as the scan results gave enough information. He started the hormone therapy the same day as diagnosis, with chemotherapy starting in a few weeks. We are slowly coming to terms with all this means.

We have a fairly young family & our youngest son is only 7 years old. He has plenty to live for!

We found the specialist cancer nurse at the urology appointment very helpful & so far he is feeling fine. I believe that keeping fit & healthy really can make a difference.

Anyway, I obviously hope for good news for you but should that not be the case I can reassure you that even only 3 weeks in we are both feeling a little calmer. Life really is carrying on (the children leave us little choice for that :-)) just with a bit more worry but a lot more appreciation of it. Wishing the very best for your appointment.