Disease pattern in prostate cancer
Disease pattern in prostate cancer, In the early stage, when the carcinoma is within the prostate, the cancer is curable. 93% of all patients are still alive after 5 years.
If the PSA value increases during the follow-up, this can be an indication that the tumor is growing again (recurrence). Now it has to be clarified whether a further local therapy (eg radiotherapy after surgery or vice versa) is useful or a drug treatment (usually antihormonal therapy) should be started.
If the tumor is discovered late or the disease can not be stopped despite treatment, the tumor spreads into adjacent tissue and develops metastases – first in the lymph nodes of the pelvis, then in other organ systems of the body. The bones (spine, ribs and pelvic bone bones) are the most frequently affected. Metastases can also occur in the liver and lungs. In this advanced stage, surgery or irradiation as a single therapy is insufficient. Now, therapies are used which act in the entire body, Hormone or chemotherapy.
A cure is no longer possible at this time. The main focus of palliative therapy is the control of pain caused by metastases. The aim of the treatment is to keep the progress of the disease as long as possible and to maintain the quality of life of the patient.
How long a patient can survive with metastatic prostate cancer depends on the malignancy of the tumor and the type of metastasis. Therefore, life expectancy varies greatly after the first occurrence of metastases. Not a few men still survive for many years despite advanced prostate cancer.
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