Dec 09, 2013 - 10:04 am
My husband has been diagnosed with prostate cancer. In November, 2008 he had biopsies done and all specimens came back benign except for Left Medial Base which came back as high grade prostatic intraepithelial meoplasia.
After this he developed severe back pain. He was told it was infection after the biopsy and was put on Cipro for many weeks. It seemed to help but then would come back after a while. His PSA scores were all over the map depending is he was on the antibiotic or not.
In July, 2013, biopsies were again done and five spcimens came back as Prostatic adenocarcinoma with a Gleason score of 7-8.
He had a CT of the abdomen and pelvis both with and without contrast. Findings were as follows lung bases show chronic changes, liver has small cysts at the dome of the liver, spleen normal, pancreas is atrophic, adrenal glands normal, kidneys small cysts no solid masses, small bowel and colon negative, urinary bladder normal, prostate prominent. Chronic bone changes including calcific bursitis right greater trochanter. No evidence of metistatic disease.
He also had a total body bone scan which found two foci of increased activity. Correlate with radiographs of the right manubriosternal joint and right greater trochanter for further assessment.
He was told that he had some artiritic changes in his sternum and bursitis in the hip.
He stated on HRT and radiation. He has four more radiation treatments to go and has been told that the hormone therapy will go on for a year and a half.
He was started to feel increasingly fatigued which we expected, he has also started to have pain in his hip to the point when he is walking he has to stop.
My question is could this pain in the hip be metastasis, also I thought that his CBC would be monitered as radiation may effect bone marrow in long bones and pelvis.
Can anyone help me as to my concerns of metastasis. Thank you