Anyone hear of prostrate cancer spreading to the testicle? Worried.

[Vany4]

My husband has recurring prostate cancer for the second time. He had surgery in 2014, his psa only went down to 2.0, and there were positive lymph nodes on the right side, seminal vehicle invasion. A choline pet showed one enlarged lymph node, so we did salvage radiation with one year on lupron hormones. Off hormones for a year, psa undetectable, and it came back in 2016. Waited until psa was higher than 1.0, and went to Germany in 2017 for a psma scan which showed it in 2 lymph nodes, very small. Had focal radiation to the nodes in 2017, just 4 months of hormones, and did good ( psa undetectable, normal testosterone) until last December 2018. His, psa is now 0.28, almost tripling every 3 months. Plan is to repeat psma scan in a couple of weeks if it is close to 1.0. BUT - he has recently noticed a swollen testicle. Not painful, but uncomfortable. Tomorrow we get an ultrasound locally, before I call his RO at Sloan Kettering.

We are worried that it has spread to the testicle,, although I’ve read it is rare, but happens. Has anyone heard of such a thing? I’ve seen a few rare case studies on this which scared me.

[Vany4]

Thanks. Hopefully it is something else. His psa is so low, I’m confused about this. But the ultrasound will tell.

[Tall_Allen]

When you did salvage radiation after the first lymph node was discovered, did he have all his pelvic lymph nodes irradiated or just the one?

[Vany4]

The first salvage radiation was all pelvic lymph nodes and extra attention to the one as well. The second, focused on the 2 small ones found, and the surrounding area.

[Vany4]

The second one was retroperiniteal nodes not radiated the first time.

[Break60]

It’s very rare . Never heard of it but I suppose it’s remotely possible.

My son had it at 30 in 2005 ( swelling and pain ) , had one testicle removed and has been good to go ever since. Thank goodness!

[jackdrum]

Sorry I can't give you a lot of good information, but will give you some background on myown history. Many can survive many years without a lot of problems as I have. I had my RP on June 1990 and went undetectable of 12 years. Year 13 PSA was detected and at year 2005 it had spread to my prostate bed, and bladder and I had 42 radiation treatments, and. In the year 2015 PSA had climbed to just over 10 and I had all the CT scans and bone scans and it had spread to one rib on right side. I just finished 10 more radiation in Jan. this year. Everyone does things different as most everyone is different and needs to get their own needed treatment. It

[Vany4]

Thanks, everyone. We had the ultrasound today, and while no formal results the tech said she saw no mass, just fluid around the testicle. Waiting for the formal radiologist report, but this sounds promising so far.

[Hirsch]

ca of testicle is Usually a young mans disease

Please give us followup..

[j-o-h-n]

He's in good hands at MSKcc.

Good Luck, Good Health and Good humor.

j-o-h-n Thursday 05/30/2019 7:09 PM DST