Re: Steph please, prognosis


"J" <nexsw@nvalid,anon> wrote in message
news:45D43F71.8FF6F8C1@xxxxxxxxxxxxxxxx
prostate cancer patient, late diagnosis, no RRP, no brachytherapy, no
biopsy, way too late for that.
he's on 2 hormone therapies which I think may be helpng him urinate,
rather than a catheter.
He's youngish, but unfrortunately has chronic heart disease and diabetes.

He's in Wales. They have no intention of giving him RT.
He's lost 9 stones without trying and despite being a home-type chef. (one
of the loves of his life).
Due to messages on the other newsgroup, he thinks he's good until summer
2008 or longer.

results of Bone-Scan - as follows:
"There is extensive metastatic disease involving the Skull Vault; the
cervical, thoracic and lumbo-sacral spine, bony pelvis, ribs, sternum,
shoulders, elbows, wrists, knees, ankles and digitals. There is a
concentration of metastic disease involving both proximal femora"

Head x-ray - shows a cluster of as yet unspecified abnormal cells located
between the (I forget now - but between two brain lobes)
Chest x-ray - small cluster of abnormal cells in the right upper lung.
Abdominal x-ray - two abnormal cell clusters on the liver.
CT-Scan to follow.

One problem is he lives alone and has no one to care for him and his cat.
Problem #2 he's been on they're cutting his morphine from 60 mg taken
twice a day to 10 mg twice a day.

Median? for this self-described stubborn man and prostate cancer patients
seem to do better, but there's the hips and the liver and the brain, in
this man.

I need to know (so as to know) when to tell him to call in hospice.
Thanks
J



Median survival with bone mets is 10-12 months, but with brain or lung mets
is shorter - maybe 3-4 months


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