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Urology (Expert Forum)
Prognosis for longevity
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Prognosis for longevity
by DCO, Oct 07, 2005 12:00AM
My husband has had radical surgury of protate and seminal vesticals. The Oncologist said if he had kemo and radiation he may have a 20% change of survival. He was a PSA of 9 after surgury. I have read that the average life span is 7 years when a man is in such a condition. He is 56 years old and has a rapid growing type of cancer. He is in Stage T-3bc. He has completed Kemo and now will start radiation on Monday 10/10. What can we expect after radiation. He is on a blocker as well.
18 mo treatment of blocker is up in Feb of next year.
Now his psa shows .002 with minimal bone loss from blocker.
He feels sick to his stomach a lot. Limp Nodes are suspect however the 5 biopsied at surgury were not cancerous. He has a 2 cm tumor on his badder neck.
What to you think. He is being treated by a very good oncologist in California.
My husband tells me he will get through all this but I have read things that tell me he is not in a very good place to get rid of the cancer and live a long life with me.
18 mo treatment of blocker is up in Feb of next year.
Now his psa shows .002 with minimal bone loss from blocker.
He feels sick to his stomach a lot. Limp Nodes are suspect however the 5 biopsied at surgury were not cancerous. He has a 2 cm tumor on his badder neck.
What to you think. He is being treated by a very good oncologist in California.
My husband tells me he will get through all this but I have read things that tell me he is not in a very good place to get rid of the cancer and live a long life with me.
Doctor's Answer
by Kevin Pho, MD, Oct 10, 2005 12:00AM
, Oct 10, 2005 12:00AM
Studies have shown that the 5-year survival rate after a prostatectomy and radiation for a T-3 cancer as follows:
* 10 year overall survival — 33 to 45 percent
* 15 year overall survival — 18 to 31 percent.
With the addition of chemotherapy, studies have shown a 3 year survival rate was 88 percent.
It sounds like the appropriate therapy is being performed and you can discuss these survival rates with your oncologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
* 10 year overall survival — 33 to 45 percent
* 15 year overall survival — 18 to 31 percent.
With the addition of chemotherapy, studies have shown a 3 year survival rate was 88 percent.
It sounds like the appropriate therapy is being performed and you can discuss these survival rates with your oncologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
