### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi Doctors! my brother 52 years old had been diagnosed with prostate cancer 4 weeks ago and had all tests done and MRI bone scan and was told it is inoperable and will have to have hormone replacement and radiation treatment and today was told he had two black sports on the hip bone and more MRI on Friday and the results next Thursday. He had been told he has type 2 diabetes and he is on blood pressure tablets for a very long time and also has high cholesterol and on tablets for that. His weight is around the 85 mark and is about 5.7 in height. Born in South Africa, Chinese mum and German dad and been living in Australia for 37 years. I would like to know what the outcome would be when the MRI is positive that the cancer had spread to the bone....how soon would they start the treatment and how severe will it be... He had previously done all test on his prostate and nothing showed up and suddenly when diabetes was detected he was sent for prostate cancer test. Please Advise... thanks Selinah.

### output:

Hi, Thanks for writing in. Prostate cancer can spread to hip bones and lower back in many patients. Since they are evaluating disease spread, it is best to get the MRI done and then start with treatment within about 15 days. As stage 4 prostate is inoperable, it is best to give radiation and hormone replacement and guide treatment progress regularly. As he is diabetes, he should not get any infection during or after radiation treatment and care should be taken. The radiation treatment is usually given in fractions. It can be 15 days or 20 days with or without breaks. The cancer will be exposed to a medical dose of radiation each session over days. Most people do well after radiation treatment though his general health must be closely watched during and after radiation treatment. Please do not worry.