Cancer Prostate Recurrent Treatment – Will Prostate Cancer Reoccur After Prostatectomy?

The stage at which a prostate cancer is diagnosed often goes a long way in determining what the prognosis for the disease will be. In many regions of the world, and especially in the third world where the disease is not too prominent, many men live their lives out without even knowing that they suffer from the malignancy. Certainly, the poorer screening methods in these countries contribute to that fact. But improved screening (particularly in recent years) has made it possible that more than 90 percent of prostate cancers are discovered in early stages. The disease is often slow progressing so that it can be cured in this early stage and the patient assured of a nearly hundred percent five-year survival rate, hardly withstanding the treatment administered.

A prostatectomy is one of the most favored treatments for such early stage disease because it is quick and decisive. Performed by a highly skilled surgeon with the aid of a surgical robot, the required incisions could even be so small that a laparoscope can be employed. And with a little bit of nerve sparring, the best possible can be done with respect to the likely side effects of the treatment.

But prostate cancer usually does recur after prostatectomy, especially after a ten year hiatus of the malignancy.

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Although the ten-year survival rate for prostate cancer detected and treated in an early stage stands stolidly at ninety three percent, according to the American Cancer Society, the survival rate steeps sharply afterward and is not usually very encouraging.

By way of attempted consolation, prostate cancer is a relatively age specific disease too. Perhaps only one in ten thousand men under the age of forty have ever been diagnosed with the condition in the United States, which compared to the close-to-eighty-percent rate observed amongst men over the age of seventy is rather a piece of damning evidence. Life expectancy in the United States is not that far above 80 in any case, so a man treated for prostate cancer at seventy and assured that he still has a clean bill for about ten more years might not feel so bad, no?

Sure prostate cancer can reoccur after a prostatectomy, although it certainly is not a fact that it will. According to specialists, metastasis occurs after surgical removal of low-grade prostate cancer in some men, suggesting that close follow-up is warranted even for lower-risk patients. However there is only an overall 30% recurrence rate at a decade after prostatectomy, but a lot of it depends on the staging of the disease as at the time of treatment. Certainly a man with a higher Gleason score generally has a less favorable prognosis.

Of course, tumor stage and Gleason score are the most important predictors of recurrence, which you will learn if you ask your overseeing physician about it; and based on results from certain clinical studies, the risk of recurrence is concurrent with that. Based on results, it would appear as though tumors with a Gleason score of 6 or lower are low risk, although the patients still need close follow-up even after definitive treatment.

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