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It is not clear what your relationship is to this man, but no one can give you any real guidance on the information you have provided because it is simply too vague.
Although there are no "Rules" for prostate cancer, it would be unusual to be diagnosed with bone metastases with a PSA as low as 133 ng/ml. Such events are normally asociated with PSA levels over 1,000 ng/ml, although of course it is possible that a lower PSA could be involved. One of the problems with diagnoses of bone metastases by scans is that they can be confused with wear and tear and old breaks. If this gentleman has been running marathons and ultra marathons for many years, the prospect of wear would be signficant.
Here are some of the issues that I think need to be explored before moving much further in the process of assessing status before deciding strategy:
1. How did the diagnosis come about? What were the circumstances that led to the bone scan that identified the metastases?
2. What is the history of PSA levels. It would be unusual in this day and age for a man of 83 not to have had a series of PSAs over the years.
3. Has a biopsy been done? If so what was the result?
4. Have second opinions be sought on all results to date?
