How long can one survive with prostate cancer?

Written by Liu Liang
Oncology
Updated on March 05, 2025
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The life expectancy of prostate cancer patients depends on the clinical stage at diagnosis, as well as the patient's sensitivity to various treatments such as endocrine therapy, chemotherapy, and radiotherapy. Patients diagnosed at earlier stages who are more responsive to treatment generally have better treatment outcomes and, consequently, a longer survival period compared to those who are diagnosed at later stages and have poor responses to treatment. Overall, prostate cancer patients tend to have a relatively long disease course, and the prognosis is generally good. Even patients with advanced prostate cancer exhibiting extensive bone metastasis can survive several years due to the effectiveness of endocrine treatments. The disease itself progresses slowly, so the prognosis for this type of cancer is comparatively favorable.

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What are the symptoms of bone metastasis from prostate cancer?

Bone metastasis is the most common site of metastasis for prostate cancer, with the lumbar vertebrae being the most common site. Eighty percent of bone metastases in prostate cancer are osteoblastic changes. The main symptoms caused by bone metastasis are bone pain, pathological fractures, anemia, and if the spinal cord is compressed, it can cause paralysis of the lower limbs, weakness, incontinence, and other symptoms.

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What are the symptoms of prostate cancer?

Early-stage prostate cancer generally has no symptoms, but if the patient also has prostate enlargement, or in cases of mid to late-stage prostate cancer where the tumor invades the urethra or bladder, various degrees of urinary obstruction or irritative urinary symptoms may occur. This is characterized by frequent urination and urgency. If there are local infiltrative symptoms, perineal pain and sciatica might occur. If the vas deferens is compressed, it can cause back pain and pain in the testicles on the affected side. Invasion of the rectum can cause difficulty in defecation or obstruction of the colon, and if the membranous part of the urethra is involved, urinary incontinence may occur. The most common site of metastasis for prostate cancer is the bones. If it spreads to the bones, it can cause bone pain, pathological fractures, anemia, and spinal cord compression leading to paralysis of the lower limbs.

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Written by Zhou Zi Hua
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How long can one live after prostate cancer has spread to the bones?

Bone metastasis is the most common site of metastasis for prostate cancer. If a patient with prostate cancer develops bone metastasis, it means that the cancer is no longer in its early stages and has progressed to a more advanced stage. However, unlike other cancers with a higher degree of malignancy, if the tumor is highly sensitive to hormone therapy, with standardized treatment, the patient's survival time can be significantly extended.

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Written by Cui Fang Bo
Oncology
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Prostate cancer IV is stage 4.

Prostate cancer stage IV refers to stage four prostate cancer, which is a common type of male reproductive organ tumor, particularly prevalent among elderly men. Stage four prostate cancer means that the tumor is not confined to the prostate and has already shown corresponding distant metastasis. The most common sites of metastasis for prostate cancer are the bones, followed by the lungs, liver, and others. When metastasis of prostate cancer occurs, it is considered to be at a late stage, and the primary treatments include endocrine therapy, chemotherapy, etc., with a poor prognosis.

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Can prostate cancer patients eat milk and eggs?

Prostate cancer is the most common malignant tumor in the male urinary reproductive system, with 80% of cases occurring in elderly individuals over the age of 65. From an etiological perspective, a high-fat diet may be a contributing factor to prostate cancer. However, we know that malignant tumors are consumptive diseases, and nutritional status is crucial during the treatment and recovery process, especially in elderly individuals with weaker constitutions. Therefore, patients with malignant tumors should ensure adequate nutrition intake, particularly protein intake. Milk and eggs are common foods for the general population and offer a cost-effective source of nutrition. They can be included in the diet of prostate cancer patients. Of course, dietary intake should focus on healthy proportions. It is not about consuming only milk and eggs at every meal but maintaining a normal and healthy dietary balance, which is better for the patient.