Hello everyone. I was referred to the cancer people by my GP after my psa test proved high. The very next day (Christmas eve) I was contacted by the oncology department and told that because my psa score was over 20 it is policy to go straight for a bone scan. This will happen in the next couple of weeks. Does a high psa score automatically mean metastases? Sorry I do not know my actual psa score, my mind was in a bit of turmoil that day.
Does a high psa score automatically mean metastases?
No, it doesn't.
PSA is a notoriously unreliable measure: you don't say what your score is, but above 20 certainly means it needs investigating, and, really, that's all it means. Bone scans and other investigations are much more reliable ways of knowing what's going on, and my guess is that you will be offered other investigations too, as a negative bone scan - which would be good, of course - doesn't give you an all clear.
- - -
Heinous
If I can't beat this, I'm going for the draw.
Meanwhile, my priority is to live while I have the option.
Have a look at the Prostate Cancer Toolkit on the PCUK website:
https://shop.prostatecanceruk.org//our-publications/all-publications/tool-kit
It's currently out of print but you can download PDF versions of all the pamphlets and read them offline. The first publication ("How PC Is Diagnosed") is probably the best place to start.
Some really good stuff there- all downloaded.
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © 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