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Given its nature and location, my mind ran through a number of possibilities, none of which filled me with joy.

I was in London for the day and on my return to Sheffield I told my wife Sarah what I’d found.

A CT scan on the Monday confirmed my worst fears, as it showed multiple large metastases within my liver — in other words, cancerous cells had spread via the bloodstream from the site of a primary cancer.

When I checked my PSA level — which measures the level of prostate specific antigen in the blood, a possible indicator of cancer — it had shot up to 92ng/ml (nanograms per millilitre of blood).

I keep track of my PSA, and four months previously it had been within normal levels at 1.74.

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