Me and my diagnosis..........

  • 7 replies
  • 178 subscribers
  • 454 views

Hello to all the members on the forum.

I have, today, joined the forum as, to be brutally honest, am looking for support and others experiances.

A bit of a long post, but I wanted to cover as much as possible.

Diagnosis - Summer 2023

I was diagnosed with Advanced Metastatic Prostate Cancer (Stage 4) at the age of 59, around June 2023.

My PSA level was 116.

MRI scan had revealed that the cancer had spread to three or four lymph nodes in my pevlic area.

Bone scan revelaed that it had spread to my chest bone (tiny to small spread).

Biopsy revealed a Gleeson Score of 9.

CT scan revealed that there had been no other spread.

At my first Oncology appointment (end of July) I was advised that I had been graded as "low".

Treatment

 I was intially prescribed Bicalutomide which commenced in July 2023 and concluded end of August 2023.

Doctors advised I was suitable for Triplet therpay and as such started the Triptorelin injection in August.  Initially. one injection per month for a couple of months and then every three months.

Commenced Darolutamide in October 2023.  I was advised I would be on Darolutamide for the rest of my life or until such time as either it stopped working or possibly, if my PSA level dropped to zero.

Docetaxel from November 2023 to March 2024.

Since starting treatment in July 2023 my PSA level started to drop.  In August 2023 it had dropped to 46.3, by September 2023 it had dropped to 4.6.  By July 2024 it had dropped to 0.01 and in October 2024 it was undetectable.

In April 2024, in my Oncology consultation, Radiotherapy was discussed as the next stage of treatment.  However, the tumour was extremely close to the bowel.  The doctors wanted to go for aggresive Radiotherapy as opposed to soft (for those who do not know the difference, soft is one treatment a week for six weeks and aggresive is one treatment per day, five days a week for four weeks) but in doing so there was a risk of damage to the bowel (which means I could end up with a Stoma bag).

It was decided to go for a MRI scan to get a better picture and the scan took place in June 2024.  In July 2024, the MRI scan had revealed that the tumour appeared to be shrinking and as my PSA level had dropped to 0.01, it was decided not to go ahead with Radiotherpay but monitor the position.

Side effects

From the hormone therapy (Triptorelin and Daroltutomide), the sweats started (and still continue to this day) night and day.  At first, sometimes it felt like I had just stepped out of the shower and the sweats would happen every two hours and lasted up to 45 mins.  They has since settled but now happen every hour to an hour and a half and on most occassions only last for about 10 mins.

I'm not sure whether this is from the Darolutomide or the Triptorelin injections.  I seem to have it in my head that the sweats started after I had started on the Darolutomide.

As such, I have not had a good nights sleep for the best part of a year and a half!

From the chemo (Docetaxel), I gained about four stones in weight over four months (have now lost most of that) and then had latent Peripharel Neuropathy (damage to nerve endings).  This has largley settled, but another side effect has been pain in my knee and finger joints (almost like severe arthritis), this too seems to be getting better albeit very slowly.

Current position - January 2025

Following a CT scan on 30 December 2024 and bone scan on 9 January 2025, it was found that the cancer had become active again.  It had now spread to my ribs, spine, shoulder and lung.  The lymph nodes have increased in sixe as well and the prostate has enlarged.

It seems that the Darolutomide had stopped working and so I have now been taken off them (am hoping the sweats will now stop, eventually).

Currently, I have been referred to Experimental Targeted Therapy to see if there any options there and potentially further Chemo (Cabazitaxel).

I have two appointments with Climical Research next week, a Urology appointment and an appointment with Radiology for, what seems to be, some sort of experimental ultasound treatment (I cold be completely wrong in this regard) and possibly a further biopsy.

The doctors has also advised that they would like to put me on Zoledronic Acid to help prevent problems with the bones but before doing so, I need to go see the dentist and for the dentist to get in touch with the Oncology team.

Head space

I find that I am going through that rollercoster of emotions that I had gone through when I was first dianosed.  So many questions to which, to be fair, there are no answers (not at this stage anyway).

I am looking for a counselling group near me but thought I'd post here to see if any other members have gone through or are going through the same experiance and how that is working out or has worked out.

  • Hi 

    Sorry you left no name, so I will just carry on.

    Your not on your own as regards your condition, the radiotherapy I had twenty treatments and I suffered from radiation prostitis, ( bleeding from the anal area, )

     Chemotherapy can be a devil, I suffered from pins and needles in my hands and feet, the second time really did a number on me, hands and feet really bad this time, which included the shakes on my left hans fingers, plus red blotches on my arms and really unsteady on my feet, due to my knees mostly.

    Scans, injections, physio’s and a badly scared liver, with less than a two year life scan, but because of my heart, they cannot do a replacement. These are just some of the side effects, but after eight and a half years still fighting and keeping positive.

    The main reason I went through all of the above, is to let you know some of the things we go through. If you look at my profile you will get more of a gist of what I’ve been saying.

    Your people seem to have a handle on most of what your suffering with, to help with bones I take adcal3, to help with the hot sweats I took Provera 10mg of course you have to check with your team. Have they offered enzalutamide or Aberaterone? 
    We are always here to talk or give advice, so your never alone.

    Stay Safe

    Joe

  • Hi  

    sorry to see you on this forum . However , there are many people in here can give advice although not medically trained . My OH was diagnosed last March and cannot be cured due to where they found a inquinal lymph node inclusion .  He is currently on Aberaterone,   prednisone and 12 weekly Prostap injections which is working well at present . He has just completed  palliative radiotherapy which was every Tuesday for  6 weeks and it was a high doze . His PSA is down to 0.1 . 

    we atrend  the Maggie Centre attached to the hospital  and have found them amazing as does this group .

    i hope you can access councillor support where you live as it certainly helped us .

    Best wishes & take care 

    Liz & OH xx

  • Hi Joe,

    I'm Anil.  Thanks for the reply.  Am not looking forward to what is to come but as you say, have to stay positive.

    I'm the kind of person that doesn't waste time looking backwards, the past is the past and we cannot do anythng about it so keep looking forward......

    I have been offered meds (venlafaxine) to help with the sweats but chose not to take any as am trying to avoid any chemicals that do not need to be in me.

    Have been taking Flaxseed oil, Evening Primrose oil, sage and Soy supplements and they have helped.  Not heard of Provera and may look into that (subject to what the doctors say) if the sweats do not subside now that I am off the Darolutamide.

    Sounds like you have been through the mill (will have a look at your profile) and good to hear that you are still fighting just as I plan to do.

    Stay strong all the very best.

  • Hi Liz (and OH),

    Thanks for the reply, good to hear treatment is working well and long may it continue!

    There is a Maggie's attached to my hospital as well and I have got in touch about group therapy specfically in relation to Prostate Cancer, am hoping for a positive response soon.

    Keep well and all the very best to your OH.

  • Hello  and welcome. My husband has been on this rollercoaster for the last 4.5 years and we also are going through yet another recurrence or progression - we will find out next Tuesday when hubby has a PSMA PET scan which is the most sensitive type of scan available for prostate cancer and it can pick up micromets.

    There are different types of treatments for protecting the bones and hubby was put onto Xgeva as soon as he was diagnosed with advanced metastatic prostate cancer in July 2020 and he also takes daily calcium and vitamin D.

    As we have had 4 recurrences so far we have had many conversations with the oncologist and if you read my bio by clicking on the picture by my name it will give you an idea of what was available to us. If the latest recurrence is a single bone met then additional targeted radiotherapy has been suggested. If there are several spots then it might be either Radium 223 (if just in the bones) or Lutetium 177 (if it is mixed lymph and bone mets). We have also been told that additional Docetaxel might be tried before Cabazitaxel. Speaking to the radio oncologist he says he has cryotherapy as an option. Ultrasound or HIFU is available in the UK but I have only heard of it in relation to targeting the cancer when it is contained in the prostate but very often the prostate is treated in order to get rid of the 'mothership'. Doing a quick trawl it does appear that HIFU has been successfully used on bone mets so I would be interested to know if this is what is being proposed for you.

    I am not sure if radiotherapy to the prostate or pelvic area is still available for you but have you heard of a Hydrogel Spacer which is injected between the rectum and the prostate to offer some protection to the rectum during radiotherapy.

    There is an interesting video I go to which explains what could be available but each persons cancer is different and we appear to follow many different routes.

    https://youtu.be/-RVVq0uDAEE?si=FUgcYN0VyEhkLPf4

    The sweats are normally from the injections rather than the Darolutamide. My husband had some benefit from taking Sage tablets or drinking 2 cups of sage tea a day but before taking anything it is always best to check with the doctor. There are also tablets which might be prescribed to help you.

    You are asking about help so can I suggest you phone Macmillan as they can offer free counselling though BUPA plus they might be able to advise you on how to access groups in your area. Their support line is.

    0808 808 00 00

    Please ask any questions and we will try to help but please remember that none of us are medically trained.

  • Hi  

    You sound sort of similar to my OH, but he's gone down a slightly different route, Regards possible RT on the area. Mr BW had a "spaceOar" to protect the rectum. ( a cushion of gel is injected between the prostate area and the wall of the rectum, it dissolves and passes out of the body roughly 3 months later)  He then had extensive RT all over the pelvic area / nodes and lower ribs.  He's on Zoladex and Abiraterone for life and he has more pills for the endless hot sweats. Chemo is saved for later, but first ( when and if the HT fails) he will have targeted RT to any area the mets show up. Possible switch to Enzalutamide to see if a sidewards HT move will work ( That's the plan atm ) We paid for the "SpaceOar" and it seems to have worked well at protecting the rectum from any damage. 

    It's so easy to slip down into a dark place with all this treatment and side effects. Mr BW can be lost to me sometimes and I realise now that he's gone through several stages of grief in the last two years. But one thing is for sure ... Oh we do like to come out fighting.  There may be options. Please have a look at Mr BW's profile and you will find other information there that you could consider and certainly have a conversation with your consultant about. SpaceOar is supposedly available on the NHS, but very new. I'm not very good at RT and the differences, but BW had the" MRIdian" RT . He was moved about on the bed into several positions, while the MRI scanner moved around him. It will only turn on the RT beam when the target area' is within the window and not before so it's very precise. He had 20 sessions. This I believe is what he will have if his PSA goes up, more as a targeted treatment for any area of his body that shows metastatic spread.  it's well worth asking about these things and if they are an option, and if not why not. 

    You are not alone, there's lots of men and their wives/partners that stand beside you, and plenty of support and advice to be had here.

    Best wishes Lorraine 

  • Hello Anil ( 

    A belated warm welcome to the Macmillan Online Prostate Community - I am very sorry to find you here, but welcome anyway. I am Brian one of the Community Champions on the group. A little late to the party today as I have been out all day!!

    You have had some great replies from some of our Community members and I can't add much save that Sage Tablets cured my hot sweats, and they were bad ones!! I have noticed your comment regarding counselling.

    Here at Macmillan in conjunction with BUPA we offer Free BUPA Counselling For Anyone with a Cancer Diagnosis.

    The sound of clinical trials is interesting and I do hope you can keep us in the loop with these, in the meantime if I or Macmillan can do anything for you please don't hesitate in getting back to me.

    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.