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How concerning is this PSA?

You were all so wonderful and reassuring a couple of weeks back when I asked how like it was that the dr who said my dad's enlarged prostate determined through the rectal examination, was most likely prostate cancer. The biopsy is scheduled April 28.
BUT my dad started complaining of aches and pains. He did a tele health appointment on Monday. The dr said it was an auto-immune thing called PMR. They also gave my dad some medicine to help him pee, which had the effect of making him unable to pee, he went to urgent care, they gave him a catheter. He also had blood drawn.
Today he went back to dr. The dr said he's certain that my dad's achiness is from metastatic prostate cancer, due to the PSA of 200. My dad will have a bone scan on the 28th.
Has anyone had a PSA of 200 that is NOT metastases?
If it is in the bones, is it still manageable for a while?

Thank you all so much.

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207091 tn?1337709493
Yes, definitely it could mean it hasn't metastasized to the bones. While it does increase the likelihood of it, nothing is ever certain. I googled "PSA 200 metastases" and found some stories on different sites where men had PSAs into the 1000s and didn't have bone cancer.

My dad had bone cancer for years - at least 5, that I can remember. Obviously, he was being treated for it.

I'm not familiar with PMR, How was he diagnosed? There are really specific things they look for -


Make sure they've done those, and aren't just guessing.

I'm sorry with everything else going on, they are still waiting until the end of April for the biopsy. I know it seems like a really long time, but in cancer time, a month isn't that long.
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