PSA rising all the time

  • 6 replies
  • 190 subscribers
  • 460 views

Hello, can I run this past you again please? My husband Mike has been on Degarelix since being diagnosed with metastatic prostate cancer (spread to bones) last April. Initially his PSA was 0.3 but over recent months has crept up, the last one on Friday is 6.7. Recent bone scan showed significant improvement of existing mets. The urologist had originally said he would refer Mike to oncology when PSA reached 5. Has now picked an arbitrary number of 10 in view of bone scan.

This has caused a huge amount of worry and upset. Mike has never been seen by oncology, his care is overseen by this urologist.

 I don’t think his decision making is based on sound guidelines.  Does anyone have their care with oncology at Newcastle? On Monday I am going to see if it’s possibly to pay for a consultation to see if Mike’s care is appropriate.  My heart is breaking as he is trying to be positive but I am not much help as I’m so anxious.

with thanks 

Moira

  • I think he should be referred to oncology now. Since he's not a candidate for prostatectomy, there's nothing urology can do. Oncology would likely add more hormone therapy, and consider if he might be a candidate for any suitable trials, etc.

  • Thank you Andy.

  • What treatment have you had for the last year?

    ie, what brought your 192 PSA down to nearly nothing?

    Take care

  • Hello Moira ( 

    I am 100% behind the comments from  in the first post.

    I think you need to contact the PALS (Patient Advice and Liaison Office) at your hospital - let them know what the score is and ask for an urgent appointment with Oncology - at the same time if you have a number for the Urology department ask them for the same. The more you push the sooner something will happen, you need to be pro-active.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.

  • Hello….monthly Degarelix injections