Prostate Cancer Advanced Stage Life Expectancy

Surgically Removing The Prostate Gland

Life Expectancy with Prostate Cancer Diagnosis

A radical prostatectomy is the surgical removal of your prostate gland. This treatment is an option for curing prostate cancer that has not spread beyond the prostate or has not spread very far.

Like any operation, this surgery carries some risks.

A recent trial showed possible long-term side effects of radical prostatectomy may include an inability to get an erection and urinary incontinence.

Before having any treatment, 67% of men said they could get erections firm enough for intercourse.

When the men who had a radical prostatectomy were asked again after 6 months, this had decreased to 12%. When asked again after 6 years, it had slightly improved to 17%.

For urinary incontinence, 1% of men said they used absorbent pads before having any treatment.

When the men who had a radical prostatectomy were asked again after 6 months, this had increased to 46%. After 6 years, this had improved to 17%.

Out of the men who were actively monitored instead, 4% were using absorbent pads at 6 months and 8% after 6 years.

In extremely rare cases, problems arising after surgery can be fatal.

Its possible that prostate cancer can come back again after treatment. Your doctor should be able to explain the risk of your cancer coming back after treatment, based on things like your PSA level and the stage of your cancer.

Religious And Spiritual Beliefs

Awareness of the importance of religious beliefs and spiritual concerns within medical care has increased substantially over the last decade. National consensus guidelines, published in 2018, recommended the following:

That all patients receive a screening assessment for religious and spiritual concerns, followed by a more complete spiritual history.
That all patients receive a formal assessment by a certified chaplain.
That such information is placed in patient records, with follow-up at all appropriate times, including hospitalization at the EOL.

An interprofessional approach is recommended: medical personnel, including physicians, nurses, and other professionals such as social workers and psychologists, are trained to address these issues and link with chaplains, as available, to evaluate and engage patients. A survey of nurses and physicians revealed that most nurses and physicians desire to provide spiritual care, which was defined as care that supports a patients spiritual health. The more commonly cited barriers associated with the estimated amount of spiritual care provided to patients included inadequate training and the belief that providing spiritual care is not part of the medical professionals role. Most nurses desired training in spiritual care fewer physicians did.

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 doctor may want to monitor your disease to see if treatment is necessary. With active surveillance, you will have regular check-ups with your doctors, and he or she may perform biopsies regularly. If your test results change, your doctor will discuss your options for starting treatment.
Watchful Waiting: While some doctors use the terms active surveillance and watchful waiting interchangeably, watchful waiting usually means that fewer tests are done. You will still visit your doctor regularly, but your doctor 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 doctor 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.

You May Like: Life Extension Ultra Prostate Formula

Prostate Cancer Patients Want Detailed Life Expectancy Information

Men diagnosed with prostate cancer prefer physicians to explain their life expectancy in quantitative termseither as a number of years or as a probability of living at a time pointaccording to a new study by Cedars-Sinai investigators.

Life expectancy is a crucial factor in deciding whether men should get aggressive treatment like surgery or radiation for prostate cancer.

“Prostate cancer is a disease that affects older people, and it’s a very slow-growing cancer,” said Timothy J. Daskivich, MD, MSHPM, assistant professor of Surgery in the Cedars-SinaiUrology Academic Practice and first author of the study. “A lot of people will die with the disease rather than from the disease.”

Daskivich’s previous research has shown that 40% of men in the U.S. with early-stage prostate cancer and with a life expectancy of less than 10 years often undergo radiation therapy or surgery, which goes against medical guidelines. This is important since half of men diagnosed with prostate cancer over the age of 65 in the U.S. have a life expectancy of less than 10 years.

Timothy J. Daskivich, MD

“There is some evidence to suggest this is because patients are not well-informed about life expectancy when making treatment decisions. However, little data exists on how life expectancy should be ideally communicated to patients,” said Daskivich, who is also director of Health Services Research for the Cedars-Sinai Department of Surgery.

First Line Treatment For Advanced Prostate Cancer

The established first line approach is to control the progression of the disease by reducing levels of testosterone in the body. This is because testosterone increases the speed at which prostate cancer cells reproduce.

There are two different ways to lower testosterone levels. Hormone therapy lowers the levels of testosterone in the body by taking tablets or having injections. It is sometimes referred to as medical castration. The surgical option involves removing the testicles, known as surgical castration or orchidectomy, although this is now rarely used.

Another approach is called anti-androgen treatment. Androgens have to bind to a protein in the cell called an androgen receptor to work. Anti-androgens are drugs that bind to these receptors so the androgens cant, effectively blocking them. The main side-effects are gynaecomastia breast enlargement and breast pain, although a single radiotherapy dose to the breasts can help this side-effect.

Combining anti-androgens with testosterone reduction is known as Maximum Androgen Blockade and may be used if hormone treatment alone is not working sufficiently.

Treating with chemotherapy at the same time as the start of hormone deprivation was found to increase survival by 13 months in all patients and 17 months in men with high-volume disease.

Dont Miss: How To Stimulate My Prostate

Can The Gleason Score On My Biopsy Really Tell What The Cancer Grade Is In The Entire Prostate

Because prostate biopsies are tissue samples from different areas of the prostate, the Gleason score on biopsy usually reflects your cancers true grade. However, in about 1 out of 5 cases the biopsy grade is lower than the true grade because the biopsy misses a higher grade area of the cancer. It can work the other way, too, with the true grade of the tumor being lower than what is seen on the biopsy.

Stage 4 Prostate Cancer Life Expectancy

The five year survival rate for stage 1 prostate cancer is 100%, but stage 4 prostate cancer life expectancy is not very encouraging. While providing information on late stage prostate cancer life expectancy, this HealthHearty article also describes what is meant by staging and grading of prostate cancer.

Statistics show that more and more men are being diagnosed with prostate cancer every year. Various tests like PSA test, DRE test, ultrasound sonography, etc., help diagnose the cancer. Staging and grading of cancer not only help design the treatment but they also help determine how well the cancer may respond to the treatment. Staging, generally, is concerned with the spread of cancer. The Gleason grading system involves classification of cancer cells. It helps determine aggressiveness of the cells and their likelihood of spreading.

Donât Miss: What Are The Side Effects Of Prostate Cancer Radiation Therapy

You May Like: Prostate Cancer Symptoms In Dogs

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

Survival Rates By Tnm Stage

Living with advanced prostate cancer

The first approach is based on the TNM stage statistical survival times are matched to the stage of the disease.

TNM Lung Cancer Stage
M1c	6.3 months

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.

Also Check: Prostate Cancer That Has Spread

Also Check: How Do You Know Prostate Cancer Has Spread

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.

Survival Rates For Prostate Cancer

Survival rates can give you an idea of what percentage of people with the same type and stage of cancer are still alive a certain amount of time after they were diagnosed. These rates cant tell you how long you will live, but they may help give you a better understanding of how likely it is that your treatment will be successful.

Keep in mind that survival rates are estimates and are often based on previous outcomes of large numbers of people who had a specific cancer, but they cant predict what will happen in any particular persons case. These statistics can be confusing and may lead you to have more questions. Ask your doctor, who is familiar with your situation, how these numbers may apply to you.

Also Check: Can Stage 2 Prostate Cancer Be Cured

What Is The Survival Rate Of Stage 4 Prostate Cancer

Doctors use the term stage to characterize the characteristics of the original tumor itself, such as its size and how far prostate cancer has spread when it is discovered, as they do with all malignancies.

Staging systems are difficult to understand. Most malignancies, including prostate cancer, are staged using three different elements of tumor growth and dissemination. The TNM system stands for tumor, nodes, and metastasis:

T, for tumor describes the size of the main area of prostate cancer.
N, for nodes, describes whether prostate cancer has spread to any lymph nodes, and how many and in what locations.
M, for metastasis, means distant spread of prostate cancer, for example, to the bones or liver.

The TNM approach allows each mans prostate cancer to be characterized in depth and compared to the prostate cancers of other men. Doctors utilize this information to conduct research and make treatment decisions.

However, in terms of prostate cancer survival statistics, the staging method is straightforward. As previously stated, males with prostate cancer can be split into two groups in terms of survival rates:

Men with prostate cancer that is localized to the prostate or just nearby.

Prostate cancer has a high long-term survival percentage in these men. Almost all men will live for more than five years after being diagnosed with prostate cancer, and many will live for much longer.

Men whose prostate cancer has spread to distant areas, like their bones.

An Overview Of Liver Cancer

Prostate Cancer Life Expectancy Calculator

Liver cancer is often referred to as Hepatoma or Hepatocellular Carcinoma . Liver cancer is categorized into stages based on its intensity, and the 4th stage is advanced of them all. In this stage, cancer has begun to spread to the nearby lymph nodes and or the distant lymph nodes and organs. Liver cancer cases are comparatively fewer and are more common in men than in women.

You May Like: Is Collagen Good For Prostate Cancer

Managing Symptoms Of Advanced Prostate Cancer

Symptoms can often be improved by treating the cancer, but there are other ways to control symptoms. Tell your doctor or specialist nurse if you have new symptoms or symptoms get worse.

You may see a doctor or nurse who specialises in pain and symptom control. They are sometimes called palliative care specialists.

Some people find complementary therapies such as relaxation, gentle massage, or aromatherapy help you feel better and more in control.

Prognosis For Prostate Cancer

It is not possible for a doctor to predict the exact course of a disease, as it will depend on each person’s individual circumstances. However, your doctor may give you a prognosis, the likely outcome of the disease, based on the type of prostate cancer you have, the test results, the rate of tumour growth, as well as your age, fitness and medical history.

Prostate cancer often grows slowly and even more aggressive types tend to grow more slowly than other types of cancer. If diagnosed early, prostate cancer has one of the highest five year survival rates.

You May Like: Is Coffee Bad For Your Prostate

Stage Iv Prostate Cancer Prognosis

Prostate cancers detected at the distant stage have an average five-year survival rate of 28 percent, which is much lower than local and regional cancers of the prostate. This average survival rate represents stage IV prostate cancers that have metastasized beyond nearby areas to lymph nodes, organs or bones in other parts of the body.

Screening For Prostate Cancer

What is Life Expectancy for Stage 4 Prostate Cancer?

There are no tests available with sufficient accuracy to screen populations of men for early signs of prostate cancer. However, early detection and treatment can significantly improve prostate cancer survival.

The test most commonly used to aid early detection of prostate cancer is the prostate specific antigen blood test. This is not a diagnostic test as it can only indicate changes in the prostate. If you are concerned about prostate cancer you should talk to your doctor and make an informed choice about whether to have one of the tests designed to find early signs of prostate cancer, in view of the potential risks and benefits.

There are no proven measures to prevent prostate cancer.

Also Check: Prostate Cancer Treatment Survival Rates

Prostate Cancer And Its Risk Factors

Prostate cancer is a malignant growth of a walnut-shape male organ called the prostate.

Prostate cancer is currently the 2nd most common neoplasm worldwide the disease is diagnosed in over 1,200,000 men every year. The statistic says that 1 in 9 American males will develop prostate cancer at some point in their lives.

We also have some good news more than 98% of prostate cancer patients will survive at least 10 years.

Prostate cancer risk factors:

Family history of prostate/breast/ovarian cancer, especially at a young age

The tumor has spread to other organs, or lymph nodes

Please find informations below

As we can see, the survival and life expectancy of a patient with stages T1-T3 are not that different from the general population. Majority of prostate cancer patients will die of another reason than the neoplasm itself.

Stage 4 prostate cancer life expectancy depends on the presence of metastases fragments of cancer that have spread to other organs of the body, outside of the pelvis.

Metastatic prostate cancer life expectancy.

Cancer with metastases is automatically a Stage 4 cancer.
In this case, stage four prostate cancer survival rate equals 31% it means that only 1/3 of patients with metastases will survive another five years.

What Factors Determine Life Expectancy For Metastatic Prostate Cancer

The life expectancy of someone with cancer depends on the extent of metastasis and which organs are involved. Metastatic prostate cancer is designated as stage IV:

Stage IVA: Cancer has progressed to surrounding lymph nodes but not to distant locations.
Stage IVB: Cancer has progressed to distant tissues and organs, such as the bones or smooth muscles.

Generally, prostate cancers do not spread rapidly to other areas of the body. Most prostate tumors grow slowly and may not cause symptoms or complications for years, if at all.

Even when prostate cancer has spread to other regions of the body, it is usually treatable for an extended period. As a result, even men with advanced prostate cancer can enjoy good health for many years. However, if not properly treated, prostate cancer can cause serious symptoms and even turn fatal.

You May Like: What Not To Eat For Enlarged Prostate

Chemotherapy For Metastatic Prostate Cancer

Chemotherapy may be used for patients with metastatic prostate cancer, with the aim of slowing any further spread of cancer and improving quality of life.

The most commonly used chemotherapy medications, typically given via an intravenous line, are docetaxel combined with prednisone. However, there are several chemotherapy drugs available, so ask a doctor which types may be most appropriate as an effective prostate cancer treatment.

In some cases, these treatments are considered palliative, intended to relieve difficult symptoms and improve quality of life.

Prostate cancer treatment: The care you need is one call away

Your multidisciplinary team will work with you to develop a personalized plan to treat your prostate cancer in a way that fits your individual needs and goals.