Photo: Ivan Samkov

Where does prostate cancer spread to?

Prostate cancer can spread to any part of the body, but most commonly to the bones and lymph nodes. Lymph nodes (sometimes called lymph glands) are part of your lymphatic system, which is part of the body's immune system. Lymph nodes are found throughout the body including in the pelvic area, near the prostate.

prostatecanceruk.org - Advanced prostate cancer

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What treatments are available?

If you have advanced prostate cancer, treatment won’t cure your cancer. But it can help keep it under control and manage any symptoms. If you’ve just been diagnosed with advanced prostate cancer, you may be offered the following treatments: Research has found that having radiotherapy together with one of the main treatments listed above can help some men with advanced prostate cancer to live longer. But radiotherapy isn’t suitable for all men with advanced prostate cancer. If you live in Scotland, you may also be offered a type of hormone therapy called abiraterone acetate (Zytiga®) together with standard hormone therapy. In the rest of the UK, abiraterone is currently only given to men with advanced prostate cancer that has stopped responding to other types of hormone therapy. The National Institute for Health and Care Excellence (NICE) is currently deciding whether to make it available for men who have just been diagnosed with advanced prostate cancer.

Before you start treatment

Before you start any treatment, make sure you have all the information you need. It’s important to think about how you would cope with the possible side effects. Speak to your doctor or nurse about this. It can help to write down any questions you want to ask at your next appointment. It may also help to take someone with you, such as your partner, a family member or friend. It can also help to write down or record what’s said to help you remember it. You have the right to record your appointment because it’s your personal data. You could use your phone or another recording device to do this. Let your doctor or nurse know why you are doing this, as not everyone is comfortable being recorded.

If you have any questions, speak to our Specialist Nurses.

If you don’t have any symptoms and want to avoid or delay treatment and its side effects, you might be able to have your cancer monitored instead. This is known as watchful waiting. It isn’t usually recommended for men with advanced prostate cancer, because it won’t control the cancer and it won’t stop the cancer from growing or spreading. Your doctor or nurse can help you think about the advantages and disadvantages.

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At what age is prostate cancer most aggressive?

If you're black or you have a close relative with prostate cancer, they jump up at 40. About two-thirds of all prostate cancers are diagnosed in men age 65 and older. But the older you are, the less aggressive the disease is, especially after 70.

webmd.com - Prostate Cancer Risk Factors and Prevalence - WebMD

Who’s At Risk for Prostate Cancer? All men are at risk of having prostate cancer. About one man in nine will be diagnosed with it during their lifetime, but only one in 39 will die of this disease. About 80% of men who reach age 80 have cancer cells in their prostate. Besides being male, there are other things that contribute to the risk. Age The thing that raises your odds of having prostate cancer the most is age. If you’re white and have no family history, your odds go up sharply at 50. If you’re black or you have a close relative with prostate cancer, they jump up at 40. About two-thirds of all prostate cancers are diagnosed in men age 65 and older. But the older you are, the less aggressive the disease is, especially after 70. Family History Men whose relatives have had prostate cancer are considered to be at higher risk. Having a father or brother with the disease more than doubles your odds of having prostate cancer. Having a brother with prostate cancer appears to make it more likely than having an affected father does. Your chances go even higher when multiple family members are affected. Men with prostate cancer in their family should start getting screened at 40. Studies have identified several inherited genes that appear to raise the risk of prostate cancer. Experts estimate that the hereditary form of prostate cancer accounts for just 5% to 10% of all cases.

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