Got diagnosed mid-April with Gleason 9, PSA 160+ (which was up from 80 just ten days prior and up from 2.6 one year ago)- so it’s aggressive. Original scans showed pelvic lymph node involvement and mets in pelvic area and one rib. They gave me one treatment of digerlax and then Lupron. Went for scans today (3 months later) and they scanned my whole body and then scanned my elbow again...said they saw a hot spot and needed more pictures. Does this mean the cancer spread and treatment isn’t working or did the orginal scans miss it the first time? The scans were done at two different hospitals. I feel fine, no pain anywhere. I meet with the doctor in the afternoon tomorrow but I’m sick with worry. Did anyone else have additional bone mets after treatment was started? Did it mean the treatment wasn’t working?