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When Prostate Cancer Spreads

Finding out the cancer has spread isn’t good news, but don’t think it’s the worst news.

By Hafsa HameedPublished about a year ago 4 min read
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Finding out the cancer has spread isn’t good news, but don’t think it’s the worst news. The 5-year survival rate for prostate cancer that has spread to nearby organs is nearly 100%. Here’s what you need to know about your treatment and what to expect moving forward.

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Containing Cancer

When this type of cancer spreads (as your doctor may say it has metastasized), it first appears in the tissues or lymph nodes closest to the prostate gland. If caught and treated at this stage, which is called “zone”, your chances of recovery are very good. If it progresses, the cancer often spreads to your bones. At this point, the chance of survival drops to 29%.

Your doctor will talk to you about your best treatment options. You may have had surgery or radiation therapy. These treatments are sometimes used for prostate cancer where it is still limited to the prostate. When your cancer spreads, your doctor will recommend hormone therapy. This usually means taking medication to reduce the amount of androgen hormones (testosterone and DHT) in your body or to prevent them from affecting cancer cells. A related but less commonly used option is surgical casts. The doctor removes your testicles, where many of these hormones are produced. If you don’t like the idea of ​​losing weight, the doctor may recommend a silicone bag to insert into your scrotum. They will save the shape and form. If hormone therapy doesn’t work, you can switch to oral contraceptives. Prostate cancer vaccines are designed to trigger the immune system to attack cancer cells. Or your doctor may recommend chemotherapy. This may be a medicine you take by mouth or a medicine given by your doctor into a vein. If prostate cancer has spread to your bones, you may need medication to ease your pain, reduce your risk of fractures, and stabilize your body’s calcium levels. It can be dangerous if they go too far or too low. Your doctor may prescribe medication to help strengthen your bones. You can take corticosteroids to control the pain, possibly along with pain relievers. The pain medication you receive can range from ibuprofen to morphine, depending on the severity of your pain.

Your oncologist may also send you radiation therapy to reduce bone pain and kill cancer cells in your bones. Or they may give you an injection that releases radiation. These drugs are called radiopharmaceuticals.

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Signs of trouble

You might think you’ll know if your cancer has spread, but that’s not always true. Most men with advanced prostate cancer do not have any symptoms. This is why your follow-up doctor visits are important. You are likely to find out that the cancer has spread if your doctor tests your blood and finds a high level of prostate specific antigen, or PSA. They can also find it with a digital rectal exam or with an x-ray or other test. If you do have symptoms, they usually include passing urine or blood in your urine. You may also feel tired, short of breath, or lose weight without trying.

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You are likely to feel pain if the cancer has spread to your bones. The location of the pain will depend on the bone it affects. For example, you may have hip or back pain if the cancer has spread to the bones in the pelvis.

Living with cancer

Whatever treatment you decide to pursue, advanced prostate cancer will have an impact on your daily life. Loss of bowel control (incontinence), fatigue and erectile dysfunction often accompany treatment. Men on hormone therapy may experience hot flashes (similar to what many women experience during menopause) or gain weight. Cancer that has spread to your bones can also be painful. Be sure to tell your doctor about any pain or discomfort. There are many medications and techniques that can help you feel better. Self-care is also important: sleep to fight fatigue and try light exercise, such as walking, to maintain your energy. Exercise can also help fight obesity, especially if you add strength training to your routine. Check with your doctor first to make sure you can exercise properly. They may recommend that you work with a physical therapist.

If you are struggling from prostate issues, and you want to discover the little known secret most doctors don’t want you to know, be sure you get access to my FREE PDF revealing all of these secrets!!!

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