Prostate Cancer, Advanced Or Metastatic: What Happens

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What Happens

Prostate cancer is so common that some experts believe every man would get it if he lived long enough. Studies of autopsies show that most men older than 85 who die of other causes have tumors in their prostates.¹

It usually is a very slow-growing cancer that takes years to grow large enough to cause any symptoms. In some men, it never does cause problems. Sometimes, though, it grows quickly and may cause complications or death.

When prostate cancer grows large enough, it begins to fill the prostate and often can be felt by your doctor during a digital rectal exam. As it continues to grow, it breaks through the outer rim of the prostate and into nearby tissues, such as the seminal vesicles. At this point, the disease is called locally advanced prostate cancer.

After the cancer has broken through the prostate, it may move into nearby lymph nodes. From the lymph node system, the cancer can spread to other areas of the body. Most often, prostate cancer spreads to the bones. It also may spread to the lungs or other organs. When it has spread to the lymph nodes, the disease is called metastatic prostate cancer.

Metastatic prostate cancer is not curable. But a number of treatments are available to help you live longer and make you feel better. While most men live 1 to 3 years after this diagnosis, some men may live many years longer.

Last updated:	July 01, 2008
Author:	Bets Davis, MFA
Reviewed By:	E. Gregory Thompson, MD - Internal Medicine, Christopher G. Wood, MD, FACS - Urology/Oncology
Editors:	Susan Van Houten, RN, BSN, MBA, Pat Truman, MATC