Hi all,
Its been a while since I was on the forum for support! but here we are again. Quick recap: Dad diagnosed Gleason 8 (age 70) in 2010 was told contained to prostate, had prostatectomy in Feb 2011 but psa started to rise later that year. On Casodex intermittently until 2017 when psa started rising again. 2 spots appeared on rib so put on zoladex and it reduced. 2020, started getting chest ache had X-ray - originally said shadow on lung and wanted ct, then changed their mind and said it was from known shadow off rib so didn't do ct. 2021, with zoladex, psa started rising again. Was told would treat when reading over 2, but somehow bloods weren't picked up and acted on in March. They are now over 5. Based on reading, he was put back on casodex and in the meantime had a ct and bone scan. He got a call out of the blue (4 weeks after scan to say they had mdt meeting day before) which has shown lymph node involvement and in lungs (according to Dad, although really need letter from hospital to confirm as he doesn't always pick up what they say and not sure what lymph node area) They now want more bloods and a chest xray. He has never had radiotherapy or chemo, just removal, casodex and zoladex. What, if any is the next likely treatment (if any) considering he is now 82 and suffering atrial fibrillation and possible heart failure too. I have read enzalutamide as a possibility but wondered if anyone could assist until this letter comes through. You try and call the secretaries and they never pick up or return calls so I'm a bit in the dark and just going by what my Dad said. Thanks very much.