Any hope for aggressive metastatic prostate cancer?

Have stage IV prostate cancer, no insurance, scans last week demonstrated innumerable sclerotic foci lesions on my pelvis, spine and chest along with compression fractures of T8-T10. Seeing my oncologist next Tuesday. Feel like I am dying. Any hope or should I ride this out.

It is a treatment option. I had a dull pain in my L5 or sacrum (I am not sure which). Shortly after my 5 radiation treatments, the pain disappeared. I am getting a bone scan within a month to check things out.

You have opened my eyes to something. So they can do radiation treatments on the bone? I had no idea. I always thought if it gets to the bone… I’m a gonner.

Thank you for replying
I need to hear this

There is hope. Many many men discover they have prostate cancer and metastases somewhere. New treatments are being approved all the time. I was diagnosed with prostate CA two years ago and metastases in five places and I feel great. I had two different reviews of my scans and bloodwork. Both specialists agreed with my treatments and I have confidence in my urologist and oncologist. Don’t lose hope, there are effective treatments out there.

Yes, on hope. There is hope, and lots of it. Soon your husband's prostate cancer will be staged. From there, a treatment plan will be made. The Trauma from the moment of diagnosis will slowly subside but return. The "moment of diagnosis" is only a benchmark, a moment in time along the Stage IV Prostate Cancer Path.

Next, you'll enter your new life. The "living with cancer life" will slowly settle in. Treatments, medications, and doctor appointments will all be part of your new life. So will the friendship of other stage IV prostate cancer survivors. Certainty comes from hope.

On Xtandi Jan 23 and now Xgeva shot Apart from tired feel great

Stage 4 Mrpc is in my L1 3cm and small in T10 T11 L2 had 3cm was radiated 2 years ago 40 radiation in 2018 on prostate

5 years now Radiation oncologist says 5 more very possible and more

That is very encouraging. Thank you for the information.

Jojoteacher18: good advice from all. One more thing. Take one small step at a time. The amount of information can be overwhelming and at times confusing but keep moving and coming back here. Real live experiences with patients gives you an idea of options that can be discussed with experts.

Yes! There is always hope! I was diagnosed with Stage 4 metastic PC in January 2023. It had spread to my lymph nodes, hip, L4, and sacrum. I also have a 3cm lesion on my liver. My PSA was 359. I'm 54. My initial reaction was complete panic and I expected to be dead within months. My doctors at Phelps Hospital in Tarrytown came up with a plan and started treating me. Standard ADT of Abiraterone, prednisone and Lupron. Xgeva shots every month for bone strength. 5 radiation treatments for my affected bones. My PSA is down to 2.6 and my doctors are talking about me being around for more than 10 years at this point. I know there are no guarantees with PC, but I'm happy with the hope that my doctors have given me. I actually feel great. No side affects from any treatment or the PC (except for the lower libido). Talk to your doctors. Make sure you get a second opinion too. I went to Memorial Sloan Kettering in Westchester for my second opinion. I have confidence in my doctors and I continue to have lots of hope. Hang in there and continue to chat with people here. It's a great form of group therapy. Best wishes to you and your husband.