Diagnosed Jan 2022 PSA 117, Gleason 7 4 + 3, mets to local lymph nodes and hip/pelvic bones. Immediately started on ADT and has regular bone strengthening infusions. After chemo PSA settled at 0.2. Scan after chemo showed lymph nodes had returned to normal size and shape and only bone scarring where bone mets had been. He then had 6 sessions, once a week of radiotherapy to the prostate which ended on the 2nd November, his PSA remained stable at 0.2. He had a PSA test mid December and it was still 0.2. JAN 10 23 we had a review with oncologist and it’s risen to 0.4, the oncologist seemed very rushed and when we showed concern and said let’s see if it’s a trend at next test. This coincides with hip pain which is making my husband limp and have difficulty sleep, he had to palliative radiotherapy, one shot to hip to help with pain. On Tuesday PSA had jumped to 1.4, guessing after just one year he’s become castrate resistance. Anyone been in the same situation and what treatment was offered next.
