I understand your concern. I hope you can get him to a center of excellence--in the U.S. these are National Cancer Institute (NCI) designated centers like Dana Farber, Memorial Sloan Kettering, MD Anderson, etc. I'm sure other countries (Royal Marsden in the UK?) have similar centers of excellence. The doctors at such a hospital should be able to tell you if his symptoms are cancer related. And I still suggest the fPSA assay.
igorvl, I am very sorry about your father's cancer and swelling in his legs. Has he actually been diagnosed with bladder mets? I ask because swelling of the legs can be a sign of several other pretty dangerous things and I would hate for you to assume one thing based on statistical probabilities and it turn out to be some thing different.
Whatever the cause, the term "fluid retention" is appropriate if he is not passing enough urine. Is he urinating normally?
If I where you, I would have your father checked out soon by his own medical team. Keep us informed as to what you find.
Yes, the report is back. They did not mention any enlarged limph nodes or mass in bludder. Prostate is very big (as always) and inhomogenious.
But on the small portion of lung that is visible in this scan they found 5mm nodular density, and because of that recommended a folloup in three to six months.
Remember, there are two sides to the prostate. The ultrasound guided biopsy which is performed rectally can only reach one side, posterior side, or backside. In order to biopsy the other side, the anterior side, or frontal side, requires a surgical procedure. If cancer is suspected, you may want to discuss this with your father and his doctor.
I lost my mother to inoperable pancreatic cancer in 1990 after caring for her at home for 9 months.
And, my husband was diagnosed with prostate cancer in 2006. Gleason 3+4=7 PSA 3.2. Treatment of choice was proton beam therapy at Loma Linda Hospital, California. His current PSA is .52 and will continue to drop as the cancer cells die off.