Back from the Urologist yesterday.
News was not as clear cut as we had thought it might be.
The CT scans my husband had appeared good, no problems visible anyway.
The Bone Scan, although seemingly ok on the surface, did however reveal a small "hot spot" in the right parietal region (skull). Unfortunately it was not able to be identified, and although the radiologist had said that it probably was NOT a metastatic spot, it cannot be ruled out as such.
The urologist sees it that way too.
So, where we thought that it might have been a clear case for choosing the treatment we wanted (after consultation with many specialists) there is now another barrier before we can even start.
Husband goes in for an MRI of the skull to try to determine what the hot spot is. Possibilities could be reasonably benign, e.g. Pagets disease or a bone island. Or,
could be a small metastatic spot. The main problem of course is that my husband had a serious (level 4) melanoma excised in late September. So, if it IS a metastatic hot spot, then has it come from the melanoma, or has it come from the prostate cancer? This is our dilemma.
PCa specialists unwilling to go ahead with treatment for PCa until they know, because its no use having surgery for a radical prostatectomy (and that is the only option they recommended due to evidence of pathology etc.). Of course, we can choose not to go that way and they will support any of our decisions, but we trust specialist implictly and know that he does not just choose the easiest options, but will try to see individual cases and their needs.
So.... in for an MRI, which will determine the cause of the hot spot.
If its a benign condition, then we go ahead with the Rad. Prostatectomy in January - robotic surgery.
If its indeed a hot spot, then my husband will need to have surgery in his skull to remove the spot, and have it examined by pathologist to find out whether its a met from the melanoma, or from this current scourge, P.Ca.
If its from the melanoma, Im not sure what happens then... its a bit like fighting a war on two major fronts.
If its from the Pr Cancer, then surgery is out of the question as the horse has already bolted, and specialist cannot see any point in removing the prostate under these circumstances.
will keep you informed.