Can prostate cancer metastasis to liver?

My father was diagnosed with advanced prostate cancer in 2017 he was on hormone therapy . He was also has chronic hepatitis.

His psa was under control and he shows complications related chronic hepatitis ( upper Gestrointestanel bleeding) but now suddenly he has attacked by acute hepatitis with 23 bilirubin.

We checked up by ultrasound but nothing is new in ultrasound .

The thing which made me worried alot that doctor said " both acute and chronic hepatitis may be symptom of metastatic liver cancer "

As he was showing DCLD on controlled psa. Anyone has experience about it please guide me

[GP24]

Yes, PCa can spread to the liver. This is not unusual.

[Hidden in reply to GP24]

But ultrasound does not tell anything suspicious

[BarronS in reply to Hidden]

Little confused. How long ago was he diagnosed with chronic hep? If the scans show nothing new, I wouldn't think that it would be cancer that mets to the liver. A doctor saying "may be a symptom" isn't definitive and I would put this squarely on your doctor to explain further and see if he wants to do any further testing.

[Hidden in reply to BarronS]

He was diagnosed in 2013 with chronic hepatitis . He did a course of sovaldi also .

[GP24 in reply to Hidden]

You need an Axumin PET Scan or PSMA PET Scan to determine if there are PCa liver mets.

[BarronS in reply to GP24]

So you're saying that an ultrasound wouldn't pick up on tumors?

[GP24 in reply to BarronS]

If the liver is affected there are usually several small mets in it. You cannot detect these with ultrasound.

[Tall_Allen]

His acute and chronic liver disease is what you should be focussed on right now. Does he have ascites? What is the point of worrying about liver mets now?

[Hidden in reply to Tall_Allen]

The point is that doctor afraid me by saying acute+chronic is combine may be due to Mets. But ultrasound shows normal for liver. And yes mild ascites and gaseous abdomen seen in ultrasound

[Tall_Allen in reply to Hidden]

I’m saying that this is serious even if there are no Mets.

[vandy69]

Answer is YES. A MRI of his liver will show any lesions present. I was diagnosed this way in September 2017 as other scans just indicated something suspicious in liver. After MRI was a CT guided biopsy of liver to get tissue from a lesion. Analysis confirmed lesions in liver were prostate cancer mets. Immediately began chemo with Docetaxel/Carboplatin combo.

Best Wishes. Never Give In.

Mark, Atlanta

[Hidden in reply to vandy69]

Did it shows any symptoms??

[Hidden in reply to vandy69]

I mean did you experience juandice etc?

[vandy69 in reply to Hidden]

I had no symptoms of having prostate cancer mets in my liver. MRI picked up 20+ lesions in liver, so once biopsy confirmed that these were from prostate cancer and not straight up liver cancer, immediately began Docetaxel/Carboplatin chemo.

Mark, Atlanta