Can you have a small prostate and a PSA if 2.4 and still have mets in skeleton

User

Posted 08 Jan 2020 at 13:56

I’m struggling I have been until recently a fit active 72 year old. I have pain in my lower back, left leg, burning sensation in leg mostly st night I’ve seen a specialist a professor of urology with cancer as his specialty. I’ve had a CT scan and an MRI with nothing significant found. He has assured me that he is 99 percent sure I don’t have mets in the spine or leg. His view is that for mets to be present the prostate would st least be enlarged, mine is small and the PSA is 2.4 he is adamant that there could be no mets. I’m scared as I have dull pain and burning sensations in the leg. Don’t know where to go with this. The consultant is at the top of the cancer urology field.

User

Posted 08 Jan 2020 at 14:05

EXTREMELY unlikely. Prostate cancer by definition starts in the prostate before it spreads elsewhere, and tumours would have firstly enlarged your prostate and secondly shown up in the scan. There are extremely rare types of prostate cancer that don't increase PSA, but they still show up by other means. Trust your urologist - he's the expert.

Best wishes,

Chris

User

Posted 08 Jan 2020 at 22:31

Someone with prostate cancer could have a small prostate and still have bone mets but it seems that all the tests have indicated that you don't have prostate cancer therefore there won't be any mets.

Back problems are common with age, and dull pain with burning in the legs is often due to sciatica - it would probably be a good idea to see a physiotherapist or occupational therapist.

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

User

Posted 09 Jan 2020 at 00:58

Sometimes the indicators are not clear but a good consultant through experience and intuition so firm in an opinion sounds good so I would accept opinion.

Barry

User

Posted 09 Jan 2020 at 08:54

Many thanks

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