The survival rate in most people with advanced prostate cancer (Stage IV) is 30 percent at the fifth year of diagnosis. This means around 70 percent of the diagnosed men are not alive in the fifth year after diagnosis.
Most advanced-stage prostate cancer is diagnosed in older men. Studies have shown that some of the following complications are the most common cause of death:
- Cardiac causes
- Complications of surgical procedure
- Chronic lower respiratory disease
- Pulmonary embolism
What is prostate cancer?
The prostate lies below the bladder and in front of the rectum. In men, the size of the prostate increases with increasing age. In younger men, it is about the size of a walnut. Its primary function is to make fluid to nourish the semen.
Growth in the prostate can be of two types
- Benign growths: These are noncancerous growths and are rarely a threat to life. For example, benign prostatic hyperplasia.
- Malignant growths: These are cancerous growths that can sometimes be life-threatening.
Prostate cancer starts in the prostate gland and may spread to the nearby areas: lymph nodes, organs, or bones in other parts of the body.
How is advanced-stage prostate cancer treated?
Prostate cancer diagnosed in the advanced stages is difficult to cure, although many people live for many years with effective treatment. Prostate cancer that has spread to distant organs and bones is treatable but cannot be cured with current standard therapies.
Treatment choices for advanced-stage prostate cancer involve
- Hormone therapy - Hormone therapy intends to lower a man’s testosterone or hormone levels. Testosterone is the main energy source for prostate cancer cells. Hormone therapy targets to slow down the prostate cancer growth in men with stage IV prostate cancer. Hormone therapy options include:
- Medications that stop the body from producing testosterone: Some of the commonly used medications include leuprolide, goserelin, triptorelin, histrelin, and degarelix.
- Orchiectomy: It involves the removal of testicles to lower testosterone levels in the body.
- Anti-androgens: Medications that block testosterone from reaching cancer cells include bicalutamide, flutamide, and nilutamide.
- Radiation therapy - Radiation therapy for advanced-stage prostate cancer uses a large machine that directs high-energy beams to the area around cancer. Radiation therapy may also be used to prevent pain or fractures caused by cancer spreading to the bone.
- Surgery - Surgery isn’t a treatment option for stage IV prostate cancer. However, it might be recommended in certain situations. Surgery is usually an option for men who are experiencing signs and symptoms that require surgical intervention.
- Chemotherapy - Chemotherapy can treat advanced-stage prostate cancer by
- Delaying the growth of cancer cells.
- Easing signs and symptoms of cancer.
- Extending the lives of men with advanced prostate cancer.
- Immunotherapy - Immunotherapy destroys cancer kills by using the immune system. Sipuleucel-T is used to destroy prostate cancer cells.
- Treatment directed at bone complications - These include drug therapy or radiation therapy. Drugs used to treat bone complications include
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American Cancer Society. Survival Rates for Prostate Cancer. https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/survival-rates.html
Mayo Clinic. Stage 4 Prostate Cancer. https://www.mayoclinic.org/diseases-conditions/stage-4-prostate-cancer/diagnosis-treatment/drc-20377972
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How Does Prostate Cancer Kill You in the End?Prostate cancer is cancer of the prostate gland in men. Death from prostate cancer most often happens when cancer has spread (metastasized) to other organs in the body.
How Quickly Does Prostate Cancer Spread?Prostate cancer is a cancer that develops in the prostate gland in men and it is one of the most common types of cancer. In some cases, it can take up to eight years to spread from the prostate to other parts of the body (metastasis), typically the bones. In other cases, it may be more aggressive.
Prostate cancer is the most common cancer in men after skin cancer.
- Risk factors include age, family history, ethnicity, and diet.
- Prostate cancer is diagnosed by a digital rectal exam, prostate-specific antigen (PSA) test, and prostate biopsy.
- Symptoms may include
- frequent need to urinate,
- incontinence, pain,
- blood in the urine,
- fatigue, and more.
- Prognosis and treatment depend on cancer staging.
- Watchful waiting,
- cryotherapy, and
- other management strategies are available.
- Research and clinical trials strive to find new and better treatments for prostate cancer.
Prostate Cancer QuizIs prostate cancer the most common cancer in men? Take this prostate cancer quiz to find out and learn the causes, symptoms, and treatments of this disease.
Prostate Cancer Facts
Prostate cancer is a leading cause of cancer and cancer death in males; in some men, identifying it early may prevent or delay metastasis and death from prostate cancer.
- The prostate is a walnut-shaped gland that is a part of the male reproductive system that wraps around the male urethra at it exits the bladder.
- Prostate cancer is common in men over 50 years of age, with the risk of developing prostate cancer increases with aging.
Signs of Prostate Cancer: Symptoms, PSA Test, TreatmentsWhat is prostate cancer? Prostate cancer is the most common cancer in men. Learn the signs and symptoms of prostate cancer, along with causes and treatments. Know the stages, survival rates and how to lower your risk of prostate cancer.
Prostate Cancer Early Signs and Symptoms
Difficulty with urination – frequency, weak stream, trouble getting started, etc. – is usually the first sign of prostate cancer. But these and other early symptoms of prostatic cancer can also come from benign prostate conditions, so diagnostic testing is important, including PSA tests and digital rectal exam.
Prostate Cancer ScreeningProstate cancer screening may be able to detect cancer before a person has developed any symptoms. Prostate cancer is the most common nonskin cancer among American men. Tests commonly used to screen for prostate cancer include a digital rectal exam and a prostate-specific antigen test (PSA test).
Prostate Cancer Staging and Survival Rates
The prognosis for prostate cancer, as with any cancer, depends on how advanced the cancer has become, according to established stage designations. The patient's PSA score at diagnosis, as well as their Gleason score (the grading system used to determine the aggressiveness of prostate cancer) determines the prognosis and final stage designation. Prostate cancer has a high survival rate in general, but your chances depend on the stage of the cancer.
What Are the 5 Warning Signs of Prostate Cancer?Prostate cancer rarely produces symptoms in the early stage; however, few signs can help in detecting prostate cancer.
What Foods Kill Prostate Cancer?Prostate cancer refers to the uncontrolled growth of cells in the prostate gland. There is no particular food or recipe that can directly kill prostate cancer cells. Some foods that may be helpful in prostate cancer recovery and relapse prevention include foods containing lycopene, beans, green tea, cruciferous vegetables and fruit like cranberries, strawberries, blueberries and pomegranates.
What Happens If You Don't Treat Prostate Cancer?If prostate cancer is left untreated, it may grow and possibly spread out of the prostate gland to the local tissues or distant sites such as liver and lungs.