Prostate Cancer Survival Rates: What They Mean
As cancer diagnoses go, prostate cancer is often a less serious one. Prostate cancer is frequently slow-growing and slow to spread. For many men, prostate cancer is less serious than their other medical conditions.
For these reasons, and possibly because of earlier detection of low-grade prostate cancers, prostate cancer has one of the highest survival rates of any type of cancer. WebMD takes a look at prostate cancer survival rates and what they mean to you.
Coping With Prostate Cancer
The diagnosis of cancer can cause great anxiety to the individual and his family and friends. At times, one may have troubles coping with the diagnosis, the disease, and its treatment. Searching online for information may prove overwhelming also and may not be the best resource. Ask your physician or local hospital about local resources. Often, there are local prostate cancer support groups which may help you cope with your feelings and provide local resources for more knowledge.
You may consider contacting one or more of the following organizations:
- US Prostate Cancer Foundation,
- Centers for Disease Control and Prevention ,
- American Cancer Society, and
- Patient Advocates for Advanced Cancer Treatment.
The Internet has provided access to a number of sites focusing on prostate cancer treatment and outcomes. The National Cancer Institute and the National Comprehensive Cancer Network have patient information, as well as the American Urological Association.
What Can Affect My Outlook
No one can tell you exactly what will happen. How prostate cancer affects you will depend on many things.
- Your stage Whether your cancer is localised, locally advanced, or advanced.
- Your Gleason score or grade group The higher your Gleason score, the more aggressive the cancer, and the more likely it is to spread.
- Your treatment options You may be able to have treatment aimed at getting rid of the cancer. Or you may be able to have treatment to keep the cancer under control. Read more about choosing your treatment.
- Your health If you have other health problems, you may have fewer treatment options. And you may be more likely to die from another condition, such as heart disease.
- Your PSA level After youve been diagnosed, PSA tests are a good way of monitoring your prostate cancer and seeing how youre responding to treatment.
- How successful your treatment is Your treatment may be successful at getting rid of your cancer or keeping it under control. But for some men, treatment may not work as well as expected.
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Treatments To Help Manage Symptoms
Advanced prostate cancer can cause symptoms, such as bone pain. Speak to your doctor or nurse if you have symptoms there are treatments available to help manage them. The treatments above may help to delay or relieve some symptoms. There are also specific treatments to help manage symptoms you may hear these called palliative treatments. They include:
This is the team of health professionals involved in your care. It is likely to include:
- a specialist nurse
Prostate Cancer Expert In Concord Nc
Dr. Richard Natale, our board-certified urologist here at Carolina Urology Partners, works in tandem with our medical team to provide hope and care for men living with prostate cancer and all other types of reproductive cancers. Just as we have helped countless men in Concord and beyond, we can work with you to help you achieve full remission, thrive with, or even beat your cancer.
To see Dr. Natale, call us at 786-5131, or request your consultation right here on our website.
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Treatments To Control And Prevent Symptoms Caused By The Spread Of Prostate Cancer To The Bones
Palliative External beam radiotherapy
Radiopharmaceuticals: Strontium-89 , samarium-153
Radium-223 dichloride is now licensed and called Xofigo. This is not widely available in the UK but BPC is one of a relatively small number of specialist centres using this treatment.
Zolidronic acid is a bisphosphonate given by a 15-minute intravenous infusion every 34 weeks. It reduces the risk of bone complications, including pain and fractures.
Xgeva : this is a newly licensed drug available at BPC.
Surgery may be undertaken to treat bone fractures or to relieve the pressure on the spinal cord by bone metastases.
Talking To Andrews Doctor
For fifteen months, Andrew responded really well to treatment and was feeling reasonably good. But then he developed a very bad spinal cord compression. He was unable to walk and at that point it was clear that things were very serious. He spent nearly a month in hospital and his consultant told us that the cancer was back with a vengeance and that they wanted to fast track him home.
Andrew didnt want to know how long he might have. I know that he knew what the score was but that he just didnt want to speak about it.
Andrew didnt want to know how long he might have.
I asked Andrews doctor how long he might live for. She told me that she could give me some indication of how long Andrew might live for if I wanted to know. I wasnt sure that I wanted to know if Andrew didnt it might have created a barrier between us.
I wanted to know what I should expect. But I wasnt sure that I wanted to know how long Andrew would live for if he didnât know.
But I wanted to know what I should expect. I needed to plan what was going to happen when he came home, the arrangements that would need to be made and whether I needed to speak to other members of our family and friends. At this point I think I felt quite out of control, so speaking to the consultant was my way of regaining some of that control and it helped me to plan for his homecoming.
Its difficult to accept that cancer takes its own route at its own pace.
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An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
Know Your Priorities When Deciding On Prostate Cancer Treatment
While this one study showed that people who get a prostatectomy may live longer, it’s important to understand the risks involved with each and to know your priorities. You may be quick to want to remove your prostate or get radiation treatment to get rid of the cancer right away, however, there are many quality of life issues to take into account:
- With active surveillance, your cancer may grow and spread.
- Choosing not to treat your cancer right away could lead to anxiety.
- Men who undergo radiation are more likely to have bowel problems.
- There is a chance you may lose bladder control after surgery.
- You may lose your ability to have an erection after surgery.
The decision about how you will treat your prostate cancer is not one to be taken likely. Discussing the risks and complications with your healthcare provider and your family, and thoroughly considering your priorities, can help you make a decision that feels right for you.
U.S. Department of Health and Human Services Agency for Healthcare Research and Quality. Treating localized prostate cancer.
Brawley S, Mohan R, Nein CD. Localized prostate cancer: treatment options. Am Fam Physician 97:798805.
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Life Expectancy Of Stage 4 Liver Cancer
Life Expectancy of Stage 4 Liver Cancer is not very impressing at all. The stage is concerned as one of the most critical Liver Cancer. The impact of the Liver Cancer Stage 4 is very bad, and the condition gets worse with time. On average patient may survive for 6 months. However, if the complexity of Liver is less then, people may survive for even couple of years. However, the life expectancy of Stage 4 depends upon the condition of the people.
How Is Chemotherapy Given
Chemo drugs for prostate cancer are typically given into a vein , either as an infusion over a certain period of time. This can be done in a doctors office, chemotherapy clinic, or in a hospital setting. Some drugs, such as estramustine, are given as a pill.
Often, a slightly larger and sturdier IV is required in the vein system to administer chemo. They are known as central venous catheters , central venous access devices , or central lines. They are used to put medicines, blood products, nutrients, or fluids right into your blood. They can also be used to take out blood for testing.
Many different kinds of CVCs are available. The most common types are the port and the PICC line.
Doctors give chemo in cycles, with each period of treatment followed by a rest period to give you time to recover from the effects of the drugs. Cycles are most often 2 or 3 weeks long. The schedule varies depending on the drugs used. For example, with some drugs, the chemo is given only on the first day of the cycle. With others, it is given for a few days in a row, or once a week. Then, at the end of the cycle, the chemo schedule repeats to start the next cycle.
The length of treatment for advanced prostate cancer is based on how well it is working and what side effects you have.
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General Prostate Cancer Survival Rate
According to the American Cancer Society:
- The relative 5-year survival rate is nearly 100%
- The relative 10-year survival rate is 98%
- The 15-year relative survival rate is 91%
Note: Relative survival rate means the percentage of patients who live amount of years after their initial diagnosis.
Keep in mind, however, that because the compiled list figures are of cancers diagnosed up to 15 years ago, you may have an even greater chance of survival than these indicate due to advances in prostate cancer treatment technology
Survival Rates By Tnm Stage
The first approach is based on the TNM stage statistical survival times are matched to the stage of the disease.
|TNM Lung Cancer Stage|
By contrast, the one-year survival rate for stage 4 lung cancer was reported in one study to be between 15% and 19%, meaning this portion of patients with metastatic disease lived for at least a year.
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Watchful Waiting Or Active Surveillance/active Monitoring
Asymptomatic patients of advanced age or with concomitant illness may warrantconsideration of careful observation without immediate active treatment. Watch and wait, observation, expectant management, and active surveillance/active monitoring are terms indicating a strategy that does not employ immediate therapy with curative intent.
Watchful waiting and active surveillance/active monitoring are the most commonly used terms, and the literature does not always clearly distinguish them, making the interpretation of results difficult. The general concept of watchful waiting is patient follow-up with the application of palliative care as needed to alleviate symptoms of tumor progression. There is no planned attempt at curative therapy at any point in follow-up. For example, transurethral resection of the prostate or hormonal therapy may be used to alleviate tumor-related urethral obstruction should there be local tumor growth hormonal therapy or bone radiation might be used to alleviate pain from metastases. Radical prostatectomy has been compared with watchful waiting or active surveillance/active monitoring in men with early-stage disease .
- Regular patient visits.
- Transrectal ultrasound .
- Transrectal needle biopsies .
Patient selection, testing intervals, and specific tests, as well as criteria for intervention, are arbitrary and not established in controlled trials.
Sheba Medical Center Is The Top Cancer Center In The Region
Why Choose Sheba Medical Center for your Cancer Treatment?The Cancer Center at Sheba Medical Center is simply the most advanced cancer treatment facility in Israel. Sheba is accredited by the Joint Commission International , the highest accrediting authority for international healthcare. Among Shebas Cancer Centers many benefits are:
- Partnership with MD Anderson Cancer Center as part of a worldwide network of high-quality cancer treatment centers
- Access to the latest clinical trials about 160 ongoings in all stages
- ProgHighly-skilled and experienced oncologists, surgeons, radiation oncologists, hematologists, and other specialists working together to provide you with integrative, holistic cancer treatment
- Advanced diagnostic and staging techniques to ensure a specific, accurate diagnosis
- Specialized treatment for your unique cancer type, with dedicated centers like The Ella Lemelbaum
- Institute for Immuno-Oncology, dedicated to skin cancer treatment, The Meirav Breast Center, which is devoted to new surgical techniques and other therapies for breast cancer, and The Sheba Pancreatic Cancer Center , the largest center of its kind in Israel and staffed by some of the top pancreatic cancer experts in the world
- Full support for cancer patients, including psychological support, social work, and alternative and complementary therapies
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Survival Analyses After Propensity Score Matching
Based on the propensity matched cohorts of 879 chemotherapy-exposed vs 1611 chemotherapy-naïve patients, overall survival rates at 18 and 30 months were 76.3 vs 70.5% and 61.6 vs 56.0%, favoring chemotherapy-exposed patients .
In multivariable Cox regression models, chemotherapy exposed patients exhibited lower overall mortality compared to chemotherapy naïve patients . The effect of better survival in chemotherapy-exposed remained unchanged after landmark analyses was applied in the propensity score matched cohort .
Table 2 Multivariable Cox regression models predicting overall mortality in de novo metastatic prostate cancer patients according to chemotherapy status prior to and after propensity score matching.
What Are Risk Factors For Prostate Cancer
The main cause of prostate cancer is unknown. However, several factors may increase the risk of developing the disease:
- Age: As you become older, your chances of acquiring prostate cancer increase. Most of the prostate cancer cases are observed in men over the age of 50 years.
- Ethnicity: Prostate cancer is more common in Black men and less common in Asian men for unknown reasons.
- Genetics: Men who have a parent or sibling who has had prostate cancer are at a slightly higher risk of developing prostate cancer.
- Obesity: Studies have revealed that obesity may potentially raise the risk of prostate cancer.
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Possible Side Effects Of Chemotherapy
Chemo drugs attack cells that are dividing quickly, which is why they work against cancer cells. But other cells in the body, such as those in the bone marrow , the lining of the mouth and intestines, and the hair follicles, also divide quickly. These cells can also be affected by chemo, which can lead to side effects.
The side effects of chemo depend on the type and dose of drugs given and how long they are taken. Some common side effects can include:
These side effects usually go away once treatment is finished. There are often ways to lessen these side effects. For example, drugs can be given to help prevent or reduce nausea and vomiting.
Along with the risks above, some side effects are seen more often with certain chemo drugs. For example:
- Docetaxel and cabazitaxel sometimes cause severe allergic reactions. Medicines are given before each treatment to help prevent this. These drugs can also damage nerves , which can cause numbness, tingling, or burning sensations in the hands or feet.
- Mitoxantrone can, very rarely, cause leukemia several years later.
- Estramustine carries an increased risk of blood clots.
If you notice any side effects while getting chemo report them to your cancer care team so that they can be treated promptly. In some cases, the doses of the chemo drugs may need to be reduced or treatment may need to be delayed or stopped to prevent the effects from getting worse.
Descriptive Characteristics Of Study Population
Between 2014 and 2015 we identified 4295 de novo metastatic prostate cancer patients. Of those, 905 patients received chemotherapy. Chemotherapy-exposed patients differed from their chemotherapy naïve counterparts with respect to age , higher proportions of PSA > 90 ng/ml , higher proportions of GGG V , higher proportions of cN1-stages and higher proportions of cM1c-stages . No significant differences were recorded for type of local treatment.
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Chemo Drugs Used To Treat Prostate Cancer
For prostate cancer, chemo drugs are typically used one at a time. Some of the chemo drugs used to treat prostate cancer include:
In most cases, the first chemo drug given is docetaxel, combined with the steroid drug prednisone. If this does not work , cabazitaxel is often the next chemo drug tried .
Docetaxel and cabazitaxel have been shown to help men live longer, on average, than older chemo drugs. They may slow the cancers growth and also reduce symptoms, resulting in a better quality of life. Still, chemo is very unlikely to cure prostate cancer.
Other chemo drugs being studied for use in prostate cancer include carboplatin, oxaliplatin, and cisplatin.
Treatment Options For Localized Prostate Cancer
If you are diagnosed with low-risk prostate cancer, you may be presented with a number of different treatment options. The most common include:
- Active Surveillance: Your healthcare provider may want to monitor your disease to see if treatment is necessary. With active surveillance, you will have regular check-ups with your healthcare providers, and he or she may perform biopsies regularly. If your test results change, your healthcare provider will discuss your options for starting treatment.
- Watchful Waiting: While some healthcare providers use the terms active surveillance and watchful waiting interchangeably, watchful waiting usually means that fewer tests are done. You will still visit your healthcare provider regularly, but your healthcare provider will discuss changes in your health as they relate to managing your symptoms, not curing your disease.
- Prostatectomy: Removal of the prostate, called prostatectomy, is an option that has a strong likelihood of removing your cancer since you are removing the gland where it is located. However, this is an invasive procedure that can lead to other issues, which will be covered later.
- Radiation: Your healthcare provider may suggest radiation as a means of therapy that targets tumors with radiation, usually through daily treatments in a hospital or clinic over multiple weeks.
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