Although my husband's PSA continues to be undetectable, he has rapidly developed what appear to be tumors on both liver lobes. His liver was clean on his last CT-scan in January, PSA continues to be undetecable. The hospital in the US is not sure yet what exactly is going on. We're awaiting the results of a biopsy, but there are basically 3 options:
1) a rare infection of the liver: not that likely, but something that cannot be excluded yet
2) PCa nodules: but other parameters for his PCa have not changed
3) liver cancer as a second primary cancer: but liver cancer patients are normally not in pain whereas my husband as agonizing pain in his liver (which is dealt with properly now, he's getting morphine)
For the time being, I'm just glad that my husband is at least not in pain anymore. It is heart breaking to see your husband in so much pain. We're hoping for the best.
Diagnosis: 7/6: PSA 1,946, multiple bone metastases in thoracic, lumbar spine, pelvis, bilateral ribs and proximal left tibia, 2 weeks Casodex (50 mg)
Treatment: 3 monthly Lupron injection (22.5 mg) + Zometa (4 mg IV). Added daily Casodex (50 mg) in September 2007.
25/6: PSA 407
20/8: PSA 3,7
29/9: PSA 0.7
14/10: PSA 0.17
18/12: PSA < 0.003
15/3: PSA <0.003