Sunday, September 25, 2022

Can You Live 20 Years With Prostate Cancer

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Can Prostate Cancer Be Left Untreated

What Is a Normal PSA for a Man Without Prostate Cancer? | Ask a Prostate Expert, Mark Scholz, MD

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. Also question is, how long can you survive untreated prostate cancer?

Almost all will survive their prostate cancer for longer than five years — and well beyond for many men. Men whose prostate cancer has spread to distant areas, like their bones.

Additionally, can you live 20 years with prostate cancer? With their chosen treatment , 3 percent of patients expected to live fewer than five years, 9 percent said five to 10 years, 33 percent said 10 to 20 years, and 55 percent said more than 20 years.

Likewise, can prostate cancer go away without treatment?

Prostate Cancer Without TreatmentSurgery and radiation therapy save lives, but they also carry the risk of serious long-term side effects, including incontinence, bowel problems, and sexual dysfunction.

Can you live long with prostate cancer?

You can live a long time with prostate cancer, maybe even decades. If you catch and treat it early, you might even be able to cure it.

Prostate Cancer Surgery: What To Expect

Surgery for prostate cancer usually involves a prostatectomy . Many of my patients are candidates for robotic surgery, a much less invasive option than open surgery. In some cases, a nerve-sparing procedure can help prevent erectile dysfunction and incontinence or help speed the recovery process.

Overall, the surgery is safe and low-risk. It usually takes about three hours, and most patients spend the night in the hospital and have a catheter in place for about a week. You can usually resume light activity right away, and more strenuous activity after four to six weeks.After surgery, you may need other treatment depending on your cancers stage and other factors. Or, you may only need regular monitoring for recurrence.

Symptoms Of Prostate Cancer

Symptoms of prostate cancer do not usually appear until the prostate is large enough to affect the tube that carries urine from the bladder out of the penis .

When this happens, you may notice things like:

  • an increased need to pee
  • straining while you pee
  • a feeling that your bladder has not fully emptied

These symptoms should not be ignored, but they do not mean you have prostate cancer.

It’s more likely they’re caused by something else, such as prostate enlargement.

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Surgically Removing The Prostate Gland

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, such as urinary incontinence and erectile dysfunction.

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

It’s 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.

Studies have shown that radiotherapy after prostate removal surgery may increase the chances of a cure, although research is still being carried out into when it should be used after surgery.

After a radical prostatectomy, you’ll no longer ejaculate during sex. This means you will not be able to have a child through sexual intercourse.

You may want to ask your doctors about storing a sperm sample before the operation so it can be used later for in vitro fertilisation .

Is Coffee Good For The Prostate

Prostate Cancer, Causes, Symptoms, Diagnosis and Treatment ...

Drinking four to five cups of coffee every day can lower your chances of fatal and high-grade prostate cancer, according to a 2014 review of clinical studies. Regardless of how many cups you drink overall, every three cups of coffee you drink can reduce your risk of fatal prostate cancer about 11 percent.

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Causes Of Prostate Cancer

The causes of prostate cancer are largely unknown. But certain things can increase your risk of developing the condition.

The chances of developing prostate cancer increase as you get older. Most cases develop in men aged 50 or older.

For reasons not yet understood, prostate cancer is more common in black men and less common in Asian men.

Men whose father or brother were affected by prostate cancer are at slightly increased risk themselves.

Recent research also suggests that obesity increases the risk of prostate cancer.

Life After Prostate Cancer Or With It

In some cases, prostate cancer can be thought of as a chronic disease. If you have a low-risk tumor especially if you are older or have other health conditions your prostate cancer may be something you simply live with, and not something you are likely to die from.

If you do have treatment, youll probably never have prostate cancer again though it does recur in a small percentage of cases. Regular monitoring is important for five to 10 years after treatment. If prostate cancer does recur, you may need additional treatment, depending on your age, health and other factors.

Its normal to fear recurrence or any kind of tumor in your body even a low-risk one. Keep in mind that many treatments are currently available, and more are in development. Many men live for years after a recurrence even with no treatment. If youre comfortable doing so, talk to others or seek a support group or counseling. Most of my patients are surprised to learn how many friends have experience with prostate cancer.

Most importantly, do what you need to do to stay as physically and mentally healthy as possible. Keep appointments for monitoring and follow-up. And dont let fear keep you from enjoying life.

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Can You Get Cancer From Your Partner

Some people worry about whether it is safe to have sex after being diagnosed with cancer. It is important to remember that sexual touching, penetration or close physical contact: cannot pass cancer on to a partner. will not affect the cancer.

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Ask Your Doctor For A Survivorship Care Plan

Life Expectancy with Prostate Cancer Diagnosis

Talk with your doctor about developing a survivorship care plan for you. This plan might include:

  • A summary of the treatment you received
  • A suggested schedule for follow-up exams and tests
  • A schedule for other tests you might need in the future, such as early detection tests for other types of cancer, or tests to look for long-term health effects from your cancer or its treatment
  • A list of possible late- or long-term side effects from your treatment, including what to watch for and when you should contact your doctor
  • Suggestions for things you can do that might improve your health, including possibly lowering your chances of the cancer coming back

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What Is The Most Aggressive Form Of Prostate Cancer

Ductal prostate cancer is usually more aggressive than common prostate cancer. Possible treatment options include surgery, hormone therapy, radiotherapy and chemotherapy, depending on whether your cancer has grown and spread to other parts of your body.

Sexuality And Feeling Good About Your Body

Prostate cancer treatment can often affect sexual function. Learning to be comfortable with your body during and after prostate cancer treatment is a personal journey, one that is different for everyone. Information and support can help you cope with these changes over time. Learn more in Sex and the Man With Cancer.

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Good Prostate Cancer Care

Your MDT will be able to recommend what they feel are the best treatment options, but ultimately the decision is yours.

You should be able to talk with a named specialist nurse about treatment options and possible side effects to help you make a decision.

You should also be told about any clinical trials you may be eligible for.

If you have side effects from treatment, you should be referred to specialist services to help stop or ease these side effects.

What Are The 4 Stages Of Prostate Cancer

Prostate cancer symptoms: Signs can include this bodily ...

Prostate Cancer Stages

  • T2a: The tumor has invaded one-half of one side of the prostate.
  • T2b: The tumor has spread to more than one-half of one side of the prostate, but not to both sides.
  • T2c: The cancer has invaded both sides of the prostate.

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How Long Can A Man Live With Prostate Cancer Without Treatment

Studies have shown that between 86% and 98% of men with LPC do not die from their cancer in all age groups, the researchers wrote. In fact, more than 95% of patients with LPC live at least 10 years after their diagnosis, whereas only 25% of patients in this study expected to live more than 10 years.

Can I Survive Advanced Prostate Cancer Whats The Prognosis

Prostate cancer is the second leading cause of death from cancer in men, according to the National Cancer Institute. While theres no cure, men can live with it for years if they get the right treatment. Each man with advanced prostate cancer is different, of course. You and your cancer have unique qualities that your doctor takes into consideration when planning the best treatment strategy for you.

According to Harvard Medical School, the prognosis for men with advanced prostate cancer is improving because of newer medications that help them get past a resistance to androgen-deprivation therapy that typically develops after a few years of treatment. With these medications, many men are living longer, and a number of men diagnosed with advanced prostate cancer are dying with the cancer, not from it.

Promptly treating prostate cancer bone metastases with the newest medication can help change a mans prognosis dramatically, Tagawa says. There are men who do well for decades, he says. Some men can even stop treatment, go on to live many years, and actually die of something unrelated.

Tagawa says that cancer specialists who use sophisticated imaging technologies, like positron-emission tomography scans, have gotten very good at finding even tiny bone metastases, which is valuable in diagnosing and removing early stage metastases.

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What Foods Help Prostate

6 Foods to Boost Prostate HealthTomatoes. Certain fruits and vegetables, including tomatoes, contain a powerful antioxidant called lycopene. … Broccoli. Broccoli is a vegetable that contains many complex compounds that may help protect some people from cancer. … Green tea. … Legumes and soybeans. … Pomegranate juice. … Fish.

Prostate Cancer Survival Rates Are Favorable Overall

Which is Better – Surgery vs. Radiation for Prostate Cancer?

Thinking about survival rates for prostate cancer takes a little mental stretching. Keep in mind that most men are around 70 when diagnosed with prostate cancer. Over, say, five years, many of these men will die from other medical problems unrelated to prostate cancer.

To determine the prostate cancer survival rate, these men are subtracted out of the calculations. Counting only the men who are left provides what’s called the relative survival rate for prostate cancer.

Taking that into consideration, the relative survival rates for most kinds of prostate cancer are actually pretty good. Remember, we’re not counting men with prostate cancer who die of other causes:

  • 92% of all prostate cancers are found when they are in the early stage, called local or regional. Almost 100% of men who have local or regional prostate cancer will survive more than five years after diagnosis.
  • Fewer men have more advanced prostate cancer at the time of diagnosis. Once prostate cancer has spread beyond the prostate, survival rates fall. For men with distant spread of prostate cancer, about one-third will survive for five years after diagnosis.

Many men with prostate cancer actually will live much longer than five years after diagnosis. What about longer-term survival rates? According to the American Society of Clinical Oncology, for men with local or regional prostate cancer:

  • the relative 10-year survival rate is 98%
  • the relative 15-year survival rate is 96%

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Faqs About Prostate Cancer That Has Spread To The Bones

Learn what this diagnosis means for your health and your future, and what you can do to feel strong and well supported.

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The prostate is a gland the size of a golf ball that sits below the bladder and in front of the rectum. Its responsible for making the fluid that forms semen. Many men develop cancer of the prostate gland its the second most common cancer among men in the United States. There are several stages of prostate cancer the earliest, when the cancer is still limited to the prostate gland itself, is the easiest to treat.

When the cancer has spread, or metastasized, beyond the prostate gland, its considered advanced, according to the American Cancer Society . When it spreads, its common for cancer cells to reach the bones first. Nine out of 10 men with advanced prostate cancer also have it in their bones.

At this advanced stage, the cancer cant be cured, says Scott T. Tagawa, MD, a medical oncologist at Weill Cornell Medicine and New York-Presbyterian Hospital in New York City. But with treatment, many men can live a long time. There are men Ive been treating for advanced prostate cancer for 10 or 20 years.

Arm yourself with the facts about what happens when prostate cancer spreads to the bones and what you can do to help manage it.

What Should I Expect As My Cancer Progresses

How does prostate cancer spread?

Prostate cancer cells can move from the prostate to other parts of the body through the blood stream. Or they can spread to the lymph nodes near the prostate and then travel through the lymph vessels to other parts of your body. Lymph nodes and lymph vessels are part of your lymphatic system and are found throughout your body.

Prostate cancer most commonly spreads to the bones and lymph nodes. It can also spread to, or press on, the tube you urinate through , the bladder, the tubes that carry urine from the kidneys to the bladder and part of the bowel . Prostate cancer may spread to other parts of the body, including the lungs and liver. But this is less common.

If tests and scans show that your cancer is spreading, ask your doctor what will happen next. This can help you and your family prepare for what to expect. Find out more about advanced prostate cancer and treatments.

Watch our video about advanced prostate cancer.

How does prostate cancer cause problems?

Prostate cancer can cause problems if it is pressing on your bones or nerves. It can also cause problems by stopping your normal cells from working properly.

What problems can advanced prostate cancer cause?

The symptoms and problems you have will depend on where the cancer has spread to. Even though your cancer is still growing, you will still be able to have treatment to help manage these problems.

Advanced prostate cancer problems may include:

What should I look out for?

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Reclaiming My Lifeand Helping Others Do The Same

Ron Scolamiero and his wife, Laurie, with two of their sons, Nick and Michael

This went on until 2012, when my oncologist said he was part of a clinical trial for prostate cancer patients like me living with non-metastatic castration-resistant prostate cancer. I was lucky in that my doctor was the lead physician on the second phase of this trial. After I began the treatment, my PSA levels held steady, and there was no evidence of the cancer spreading.

Since then, Ive had two tumors appear where my prostate used to beand surgeries to remove them, which have resulted in a whole lot of difficulty with my ability to urinatebut no tumors have spread throughout my body. I have continued taking the drug, and I felt incredibly grateful when it was approved by the FDA.

Im 73 now, a father of five sons and grandfather of three. Most days I dont even think I have cancer, even though I still take my pills every morning. Thanks in large part to my wife, Laurie, I have managed to live my life as if I didnt have this disease. And even though it is always lurking in the back of our minds, we dont let it get to the forefront to take over our lives.

What is at the forefront for me is doing whatever I can to help other men facing a prostate cancer diagnosis. Ive come a long way since those early days of shame, traveling two towns over to get my prostate cancer mailings.

Is Metastatic Prostate Cancer A Death Sentence

Morningside Medical Practice

It’s bad news, but it isn’t likely to be a death sentence. Thanks to widespread screening, nearly 90 percent of prostate cancers are detected before they spread beyond the gland. At this point, the disease is highly curable, meaning that after five years men who have undergone treatment remain cancer-free.

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What Types Of Testing Should I Expect For Monitoring My Condition

Since metastatic prostate cancer isnt curable, your doctor will most likely set up regular visits to check the cancers location, and to manage any long-term side effects from the cancer or any medication youre taking.

And since treatments for advanced prostate cancer are changing so fast and need to be given in a certain sequence to be the most effective, youll probably have not only a prostate cancer doctor but other specialists taking care of you. Your care team should coordinate closely, say the authors of a major study of such teams published in August 2015 in the journal Annals of Oncology.

Along with regularly testing your prostate-specific antigen levels, your care team may request blood tests that measure such prostate cancer indicators as alkaline phosphatase and lactate dehydrogenase. Magnetic resonance imaging or PET scans of the spine or other bones can also help identify how your cancer responds to treatment.

If youve had radiation, youre at an increased risk for bladder and colorectal cancer and should get screened regularly for these as well.

The tests youll have and how often youll need them should be customized to you. Your care team will consider your overall health, medications that are safe for you to take, other health conditions you might have, and what stage your cancer was when you were diagnosed.

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