MY best friend has prostrate cancer

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arneeb
Veteran Member


Date Joined Nov 2009
Total Posts : 2360
   Posted 3/23/2010 10:31 PM (GMT -6)   
After dealing with my significant other's liver cancer and health problems for five years... now my best friend has prostrate cancer... actually had it last year... they removed his prostrate... and now his PSA levels... whatever that means... are high.. they didn't find anything... said some hot spots in his spine.. whatever that means... and an MRI found nothing... and they will recheck everything in June... what's is a hot spot... is a hot spot in the spine .. is that telling us probability of bone cancer?? doesn't that go quickly?? he just retired at 62... man, oh, man... I don't know exact numbers...

Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 3/23/2010 10:48 PM (GMT -6)   
The concern would be that the hot spots could be prostate cancer metastases, usually referred to informally as "mets". These would be prostate cancer metastasized to bone, btw, not bone cancer, if that is the case.

From the information you provided, it's probably hard for anyone on this board to say exactly what the situation is, but from what you wrote it sounds likely that he has systemic disease. Hopefully he's in the care of good medical oncologist, preferably one who specializes in prostate cancer. Others here on this board can give you some names if you're interested.

IF he has systemic disease, he needs systemic treatment. The goal switches from curing the cancer to stalling it, through the use of hormone therapy (androgen deprivation, or ADT) and maybe chemo at some point. Just because he has some hot spots - even if they are from prostate cancer - doesn't mean it will progress rapidly.

There are men here and elsewhere who do very well with ADT, and go on to live happy, productive lives for many years. ADT usually causes mets to shrink or disappear from scans, and it relieves pain. Androgen deprivation deprives the cancer of the testosterone it needs, and that knocks the cancer on its can for a while--sometimes for decades. There's no guarantee, of course - some men stop responding to ADT sooner than others - but there's no reason to panic that you are about to lose your friend anytime soon.

There are others here who know a lot more about treatment of advanced disease, so I'll shut up now and let them correct any inaccuracies in my statements and tell you a lot more. I wanted to jump in here and tell you that things aren't as dreary as they may seem on the surface.

Best wishes to you and your friend.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2842
   Posted 3/24/2010 4:20 AM (GMT -6)   
Arneeb - wishing you, your significant other and your best friend all the best. Gathering the information and learning helps defeat the fear. Galileo described it very well and I learned some clarifying stuff for me today too!

Thanks Galileo.

hugs
BRONSON
.................
Age: 54 - gay - with spouse, Steve - 59
PSA: 04/2007- 1.68 - 08/2009 - 3.46 - 10/2009 - 3.86
Confirmation of Prostate Cancer: October 16, 2009 - 6 of 12 cancerous samples , Gleason 7 (4+3)
Doctor: Dr. Mohamed Elharram -Urologist / Surgeon - Peterborough Regional Health Centre
Radical Prostatectomy Operation: November 18, 2009 , home - November 21, 2009
Post Surgery Biopsy: pT3a- gleason 7 - extraprostatic extension - perineural invasion - prostate weight - 34.1gm -
ED Prescription: Jan 8/2010 - started daily 5mg cialis - girth back to normal -but not much length - will go for trimix in April when I see doc
Incontinence: 3-5 pads/1-2 clothes changes/day- finally seeing improvement - March 3, 2010 - week 14 after surgery -
location: Peteborough, Ontario, Canada
Post Surgery-PSA: to be announced - April 8, 2010
............


zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 3/24/2010 5:11 AM (GMT -6)   
Galileo has told you the story well enough, I am one of those guys on hormone therapies, been 8 yrs. currently (very thankful for that). We don't know if your friend has definitive 'mets' to spine, but if proven so and pains set in...they can radiate spots to relieve pain (not a curative intent but palliative) but does work to relieve pain which to a spine area could almost cripple ones movements literally. Maybe tell you friend to get the book: A Primer on Prostate Cancer by Dr. Strum & Donna Pogliano it has cases, examples of patients whom had/have mets, there scenario and some of there treatments and findings to read about...helps take away some of the fear factor, perhaps. Website with patients histories/stories at    www.yananow.net 

The best type of doc for this person would likely be a PCa specialist oncologists, so advise friend to find one real soon for best care for all issues he is facing.


Youth is wasted on the Young-(W.C. Fields)

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