Hi I’m new to this and I would just like some advise as I am going out my mind with worry over my brother . Psa was 50 he’s had mri biopsy . He goes for biopsy results next week . Neurology nurse told him heT3B n1 mx that information was sent in a letter . What does this diagnosis mean and is this really bad.
thank you any help would be so appreciated
Hi BG
Very sorry to be reading this I’m new to this also got my diagnostics on new year day so I can’t offer to much knowledge.
However I can see your brother case and mine have a lot in common and you asked if anyone else had the same diagnostics. You said he as not received the biopsy results yet and still giving a treatment plan which includes chemotherapy this as happened to me and I have already received my first round of chemo. In my case it as spread to to my skull and they are concerned it my spread to my brain. So they wanted to move quickly. Hit it hard and fast were her words. You said it is buy is spine so maybe they are worried it will move to his spine.
You also spoke of Second generation drugs could this be the hormone tablets? They gave me NUBEQU which is a second generation treatment?
As for the chemo he is worried about side effects I was the say but decided to go with it. So far they have not been to bad although I have a few however overall the side effects of hormones are worse of course this me and we all react differently.
Sorry I can’t be of more help.
Ian
Hi BG, that sounds a much better treatment, probably the best one to have, and one familiar to a few guys on here, I can understand it's an emotional time, and it's difficult to process everything, but please don't Google, use trusted websites, Macmillan, CRUK, Prostate cancer UK and the NHS ones, when you have all the information about your brothers treatment, please get back, and the gang will be able to help you through it.
Eddie
Hi Ian
thank you for taking the time to send a message it’s really helped and so sorry your on this journey too but what I have learned Ian is this site has helped me so much and I’m not an expert on prostate cancer by no means but being on here I’m learning so much so keep posting it really does help the people on here are amazing no questions are silly everyone here to help each other . You take care of yourself and again thank you .
my brother has had all his results in including bone scan it’s in his pelvis and lymph nodes close to spine so like you think they going to hit it hard .
take care and thank you
BG
Just wanted to let you know I am still with you and following your journey,I know non of us were experts before finding ourselves on this rollercoaster but have left it to others who are able to help you better than I am able, do continue to hope as lots can be done Much Love David
Hi David
such a lovely message thank you so much
BG
Hi eddie
could I just ask a question please . My brother is getting out in Apalutamide along with his HT. he has come across another drug Abiiraterone think it’s spelt like that . He was just wondering on looking this one seems better for advanced cancer . Has anyone been on either of these treatments or know what the difference is between them any help would be much appreciated
thank you
BG
Hi BG, Apalutamide blocks the interaction between testosterone and cancer cells, Abiraterone stops the body producing testosterone.
I know NHS England doesn't approve Abiraterone as a routine 1st line treatment, but know there are exceptions, as some on here may share, my concern would be Abiraterone is not seen as an effective treatment after being on Apalutamide, though I know your brother hasn't been on it long, I'm not qualified to answer, it's something you should ask your team.
Eddie xx
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2026 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007