Q. Where has prostate cancer been known to spread?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Prostate cancer is known to spread beyond the prostate gland and into other parts of the body, including lymph nodes, bones, and other organs. The most common sites for metastasis are the pelvic lymph nodes, followed by bones (such as hips or spine), lungs, liver and brain.
The vast majority of patients with localized prostate cancer do not have distant metastases at diagnosis. However if cancer has spread beyond the prostate/pelvic region at diagnosis it usually implies a more advanced stage disease which may be associated with higher risk of relapse after treatment. The likelihood that either local or distant recurrence will occur depends on several factors such as tumor grade and stage, patient age and PSA levels prior to definitive treatment.
Therefore close monitoring for signs of recurrent disease within three years following treatment is generally recommended especially in those cases where aggressive forms of tumors had been documented prior to treatment. With modern therapeutic methods even advanced stages may be managed successfully over a long period without any direct effect on quality-of-life while providing improved survival rates compared to previous decades when less sophisticated treatments were available.
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