My husband was 48 years old and diagnosed with prostate cancer in 2008. He opted for the robotic surgery and was told that all cancer cells were contained in the prostate and that they got it all. He didn't have to undergo radiation or chemo.
My husband has now come to me and told me that he has been in pain since the surgery or should I say a few weeks after the surgery in his lower back/hip area. There is a lump and it is very painful when I touch it. He is now having a hard time sleeping on that side as well. His doctor has scheduled him for a MRI to see if the prostate cancer spread to the spine. Also, for the past 2 years now his PSA level has been .1 and not 0 but he has been told that it's okay/normal for some men.
I am confused as the oncology dr said that the cancer was confined to the prostate. Could this be cancer causing this pain?
Thank you for your question. Diagnostic evaluation of the prostate after the organ is removed determines the grade of prostate cancer. Organ confined disease, is just that, there is no evidence that the cancerous lesion, or lesions, have invaded the prostatic capsule and the cancer is thought to be contained within the prostate.
In addressing your question, bone micrometastasis could be have been present during treatment of the primary tumor. However, bone pain and a positive bone scan indicating disease spread are often preceded by a rise in PSA. Imaging studies (bone scan and MRI) and continued PSA testing are warranted.
Thanks again for your question.
Ashutosh (Ash) K. Tewari, MD
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