New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

summerblue
New Member


Date Joined Mar 2007
Total Posts : 11
   Posted 3/7/2009 8:21 PM (GMT -6)   
Hi I was here when we first found out my husband had prostate cancer that has spread to his bones.  He has been doing well for over a year now, but lately he has been in alot of pain.  The pain is in his backside area and he is having alot of pain sitting.  He isn't sleeping well as the pain wakes him throughout the night.  Is there anything that could help this?  His doctor has given him some pain meds, percoset I think, but it doesn't help much.  Any thoughts?  Thanks

don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 3/7/2009 8:37 PM (GMT -6)   

Hello Summerblue,

I have copied an excerpt from a paper on palliative treatment for bone metastasis for you. It is as follows:

 

"Radiation Therapy Targeting Bone Metastases
Men who experience pain from a bone metastasis will often be treated with radiation targeted directly to the metastasis. This will kill the prostate cancer cells and relieve the pain. (Note that radiation therapy used to treat bone metastases is completely unrelated to radiation therapy that might have been used earlier in prostate cancer treatment.)

External beam radiation therapy uses x-rays to kill the cancer cells that have settled in the bones. This type of treatment, sometimes referred to as spot radiation, is mapped out and planned very precisely by the radiation oncologist to ensure that the x-rays are targeting the metastasis and are not causing damage to the surrounding bone and muscle tissue.

Radiopharmaceuticals, or radioactive drugs, are injected into the body through a vein and settle in the bone metastases, at which point they release radiation to the local area and kill the cancer cells. The two drugs used for this procedure, samarium (Quadramet) and strontium (Metastron), are sometimes used in combination with chemotherapy."

 

Hope this helps and sorry to hear that your husband is continuing to suffer from this disease. My best to you and him.

Don


Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
 
 
 
 


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 3/8/2009 6:24 PM (GMT -6)   
Well if it is confirmed mets in a particular bone area, it is possible to use radiation to aleve pain (Don explained more on those options) and perhaps kill the PCa cells in that same area. It does work for pain issues, if directed to specific bone or vertebrate areas. You would have to look into such and find a seasoned radiation onco is best scenario.
Do you have any more recent psa tests???? Go and get tested even if you have to pay directly, find out where your numbers are at, is probably worth doing.


 


summerblue
New Member


Date Joined Mar 2007
Total Posts : 11
   Posted 3/9/2009 7:49 PM (GMT -6)   

don826, Thank you for the information.  I am printing it out and I am going to give it to my husband to read and will take it to the doctors on our next visit this week.

  zufus, I don't know his recent psa # but he will be finding out when we go this week. 

 The thing is he just had a stent put into his bladder last week.  He first went to have an mri and bone scan when he started having the pain in his backside and that is when they found a blockage in his bladder.  At that time they saw no tumors in the backside area to be causing the pain.

 Now he is having a problem with leakage, which he is very down about, but I tell him it has only been a few days since the surgery and to give it alittle time. 

  He is in alot of pain and having so much pain walking, sitting and lying down.  The pain now is not only in his backside but in his lower legs also.  I am praying for him and I am grateful for both of your replys.

  I will try to post again, I am quite busy caring for him and my daughter.  I really do appreciate your thoughts.   Thanks again.


Post Edited (summerblue) : 3/9/2009 6:53:10 PM (GMT-6)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 3/9/2009 9:55 PM (GMT -6)   
summerblue,

I certainly hope they can get your husband's pain under control. Pain like that will wear a person down quickly, and make it harder for his caregiver, you. Hoping for the best.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05, 6 month on 5/9
 
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 3/10/2009 8:58 AM (GMT -6)   
Hello Summerblue,

I just ran across this article on injecting bone cement in cancerous lesions to provide palliative pain relief. I have attached the link.

http://news.yahoo.com/s/hsn/20090310/hl_hsn/bonecementeasespainoflatestagecancers

It certainly looks interesting.

Best to you,
Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
 
 
 
 


summerblue
New Member


Date Joined Mar 2007
Total Posts : 11
   Posted 3/10/2009 3:08 PM (GMT -6)   
Thank you for that link don826.  I am going to go read it now.  Purgatory, thanks for your thoughts also.  It's good to know I can come here and get advice and good thoughts.  It is very appreciated.
New Topic Post Reply Printable Version
Forum Information
Currently it is Friday, September 21, 2018 11:58 PM (GMT -6)
There are a total of 3,005,625 posts in 329,243 threads.
View Active Threads


Who's Online
This forum has 161787 registered members. Please welcome our newest member, melzissa.
258 Guest(s), 3 Registered Member(s) are currently online.  Details
George_, Ss800, John T