Metastatic prostate cancer in spinal cord and axle skeleton

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My husband has metastatic prostate cancer which has spread to his axel skeleton. Does anyone know what this diagnosis means? He also has spinal cord compression and femur cancer. He has double incontinence as well. His consultation was not very optimistic when I met with her a couple of months ago. However since being home, just over two months now, he is learning to use a transfer board to move from bed to wheelchair and has gained a little movement in his legs. He cannot stand or walk and this frustrates him more than anything else. 
is it possible for the nerves in his spine to recover? He had two sessions of  radiotherapy on his spine about four months ago. 
He had a telephone review with a consultant last week, she said his PSA is now 1.5 but she’d like it to be lower. Please can anyone explain what this means. His PSA was over 900 when he was diagnosed and went down to 58 after steroid treatment and hormone treatment. He is still having the monthly hormone treatment. 
some days life feels ok and I can carry on with looking after him, other days I feel overwhelmed and so desperately sad and tired, just as he does too. Sometimes I just want to know how this is all going to unfold and when will it end….mostly I don’t want to know for fear of losing my best friend, my beloved husband. Thanks for being there. 

  • Hello  

    I am so sorry to read your post and I will do the best I can to answer your questions - but don't forget I am not medically trained.

    * As I understand it the "Axel Skeleton" refers to the bones which protect the body's vital organs - so that's at least the skull and the rib cage.

    * My understanding of SCC is that if treatment is early in it's onset then recovery is possible. It is possible to recover some of the nerve function but not in the main nerves running through the spine.

    * The Consultant would like the PSA to be as low as possible. In a nutshell (no pun intended) the Hormone Therapy puts the cancer cells to sleep and they are then controlled as they can't go anywhere. 1.5 shows that there's a small amount of activity still and as he's still on Hormone Therapy this should reduce even further.

    I hope the above helps.

    Why not give our Support Line a call on 0808 808 00 00 (8am to 8pm 7 days a week). They are there for both of you and they can offer you both some help and advice.

    Best wishes - Brian.

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  • Hi  so sorry to read about your husbands diagnosis.  It sounds like there are small improvements and long may that continue!  I don’t have any experience about the 2 questions you pose, but wasn’t sure how long ago he received his initial diagnosis.  A PSA of 1.5 indicates that the PCa is still around, but the main thing is if it is still going down, level or indeed rising?  Have any other treatments been suggested for later on?

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • Hi David, 

    thank you for your reply. My husband was given the diagnosis in May this year. He had been struggling to walk for a while and had back pain which he put down to older age. He is 81. No further medical treatment has been suggested yet. 
    I hope you are doing okay. I read your About David page. Very encouraging and inspiring. Thanks again. Sending you good wishes. Jenny 

  • Thank for explaining the PSA level and the SCC. We don’t know for how long he has had the cancer and the scc. He struggled with pain for a few years, it was put down to the aging process and side effects of blood pressure meds until he couldn’t stand anymore and he was admitted to hospital. That was in May this year. Treatment started about five days after date of admission to A&E.