Photo: Olha Ruskykh

Can prostate cancer spread quickly?

Ductal prostate cancer is aggressive and can spread quickly to other parts of the body. Most men who have ductal prostate cancer also have common prostate cancer at the same time. Ductal prostate cancer is usually more aggressive than common prostate cancer, and it's more likely to come back after treatment.

prostatecanceruk.org - Rare prostate cancers

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About rare prostate cancers

Although prostate cancer is a common cancer in men, there are different types of prostate cancer. Some types of prostate cancer are rare. Because they are rare, there hasn’t been much research, so we don’t know much about them. Rare types of prostate cancer include: If you are diagnosed with one of the cancers mentioned here, speak to your doctor or nurse about what that means and what treatments are suitable for you. Like most things in our body, the prostate is made up of different types of cells. The type of cancer that develops depends on the cell it starts in. The most common type of prostate cancer starts in some of the cells that line the prostate, called glandular epithelial (gland) cells. When we talk about common prostate cancer here, we mean this type of prostate cancer. Rarer types of cancer can also develop from gland cells, or from other types of cells in the prostate. Some men have more than one type of prostate cancer. For example, they may have some common prostate cancer mixed with a rare prostate cancer at the same time. Some of the rare cancers may be more aggressive than common prostate cancer. This means they may grow faster and are more likely to spread to other parts of the body.

Diagnosing rare prostate cancers

Rarer prostate cancers can be harder to diagnose. For example, some don’t cause your prostate specific antigen (PSA) level to rise. This means they’re not always picked up by a PSA test. Because of this, some rare cancers may not be diagnosed until they have already spread outside the prostate. Read more about the PSA test and other tests used to diagnose prostate cancer. Some rare prostate cancers may only be picked up after having a biopsy to check for prostate cancer, or surgery called transurethral resection of the prostate (TURP) to treat an enlarged prostate. The tissue removed during the biopsy or TURP is looked under a microscope to see if you have common prostate cancer or a rare type of prostate cancer. Rare cancers aren’t always given a Gleason score after a biopsy. This is because they can behave differently to common prostate cancer and can’t be measured in the same way. Because rare cancer can be aggressive and spread outside the prostate, you will probably have more tests to see if they have spread. These include:

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