Incurable prostate cancer that has spread to the bones.

FormerMember
FormerMember
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Hi my name is Jan my husband Dave was diagnosed with metastatic prostate cancer two years ago.  It was by chance he went for an MOT. He was 69 at the time and had no symptoms. His PSA was 32, after biopsies and various scans it showed the cancer had spread to his pelvis and lower spine. He then started on hormone injections and three months later 6 rounds of Docetaxol. He responded very well and his PSA was nil. He has to remain on hormones for life. After the chemo he then had 6 rounds of RT targeting on the prostate. After RT in Nov 2020 his PSA had risen to 3.8 consultant said this can happen after RT. Another PSA in Feb 2021 showed another rise to 5.9, 3 weeks later it rose 6.3. Consultant prescribe an extra hormone tablet (Bicalutamide) which he started in March 2021. He stayed on Bicalutamide for 6 months, even though it made him feel like an old man, no energy etc.etc he even struggled to get out of a chair. And after all that his PSA in Sept 2021 had risen to 11. They took him off Bicalutamide, he had a scan and thankfully the cancer hadn’t spread. They then started him on Aberaterone. This medication has been brilliant for his well being he has felt so fit and healthy. But since then his PSA at the last 3 visits has rapidly risen to 28. That was on today’s visit, we were devastated. The consultant said he would give the aberaterone another month (as I have read it can take up to four months before you see results). If it doesn’t work he said Dave can give enzalutamide a go or chemo again. We are both in bits and very scared, as I am sure a lot of you on here are. Just looking for some positivity.

Jan

  • Hi Jan

    Looking at what you’ve said there trying all sorts of different treatments. Which is good, they have his health as a top priority. Your husband and me are of a simuler age, although I’ve had mine a few years longer, being frightened about what’s going on is perfectly natural, having said that there seems to be a few plan B’s which I always ask what’s the next step.

    Being tired and fatigued is part and parcel as regards the treatment he’s having. It’s just getting used to them.

    Stay safe

    Joe

  • FormerMember
    FormerMember in reply to joeven

    Thanks Joe but he’s not tired with the aberaterone he’s never felt better, but it’s not bringing his PSA down, so what next, he’s only been diagnosed 2 yrs ago and we seem to be running out of options, I don’t want him to have to go through chemo again. Xx

  • Hi 

    sorry to hear about your husband. Quite surprising to hear abiraterone not responding because it’s one of the newer drugs and the psa is going up . I am a pca patient with advanced pca now on chemo with radiotherapy planned .
    Regarding your husband I would definitely push for a PSMA PET scan with your consultant. It’s highly sensitive and can actually detect where the reccurence is and the treatment can be targetted there . In case a reccurence in bones then the radiotherapy can be targeted there . 
    there are a lot of new treatments in the horizon n some already started like immunotherapy like olaparib etc that’s extremely effective. . My advise would be push for a PSMA PET scan . Best wishes 

  • Hi

    I was diagnosed five and a half years ago, I’ve been through the hormone ( still on prostap ) chemotherapy and radiotherapy, now I’m on enzalutamide been on it for just over a year, if need be I have chemotherapy to fall back on, then there’s always the trials.so there’s plenty out there to help.

    Chemotherapy is better than the other option, so if it came down to it I would do it again, although I think they don’t give the full dose.

    Stay safe

    Joe

  • Hi Jan

    I have had a very similar journey to that of your husband Dave.

    Chemotherapy (Docetaxel) was successful for a time but my PSA started rising again after about 2 years at which time I was prescribed Abiraterone.

    It is a very expensive drug and consultants seem reluctant to extend ones treatment if it is not effective in reducing PSA readings.

    I was on it for about a year but the aggressive nature of my cancer reduced its efficacy. I was then offered more chemotherapy (Cabazitaxil) which I believe is not dissimilar to Docetaxel, but possibly milder. I found chemo difficult to endure and have decided not to repeat the experience.

    I continue with 3 monthly hormone injections and 3 monthly doses of Zometa, a bone strengthener which is administered by means of IV. My PSA remains high but stable and that is all I can wish for at the present time. Ask your consultant about the possibility of Dave going on a drug trial. There is a lot of research going on at the moment with Cancer Research UK and Pharmaceutical companies working tirelessly to provide new options for those of us with PCa.

    Best wishes,

    Andy.

  • FormerMember
    FormerMember

    Hi everyone, there was a gentleman on here last night replying back to me about Dave, he’s gone through the same treatments as my husband. I have been trying to find him this morning. Being new on here I couldn’t find how to reply. I may have deleted him by mistake or flagged to moderator. There was no name he just went by initials. He was a doctor and used to work in urology, can anyone help. I need to ask him some questions. And thanks to everyone who has replied you have all been helpful and very positive. Xxx

  • FormerMember
    FormerMember in reply to Andy100

    Hi Andy, thank you so much for sharing your journey. May I ask what level your PSA is at present.

    Jan xx

  • FormerMember
    FormerMember in reply to FormerMember

    Hi Jan, it was Joeven, if you scroll up from this message you should see his reply there

  • FormerMember
    FormerMember in reply to FormerMember

    Thanks Dingbato it was MCJC and joe x

  • FormerMember
    FormerMember in reply to FormerMember

    Hi does anyone on here no how long it takes for aberaterone to start working. Daves been on it 3 months and nothing to date. Thanks Jan x