Hi. Prostate cancer is one of the slowest growing malignancies that you can get - which is obviously a good thing. It is also very common in older men (more than 70% of 80 year olds have it) but because it grows so slowly, it is often not even noticed. In the majority of cases of prostate cancer, a man will die with it, rather than from it.
However, the outlook isn%26#039;t always this good. The chief determinant of survival (with almost all cancers) is the degree that the cancer has spread by the time it is discovered.
Cancers that are confined to the prostate gland (i.e. haven%26#039;t spread) have an excellent 5-year survival rate of upwards of 80%. That is, 80% of people in this situation are alive five years later. Of those who do make it this far, by far the majority live much longer (most dying with it, not from it, as above), since the cancer will have been successfully removed.
Once the cancer spreads out to the surrounding local structures, the 5 year survival rate drops to about 60%. And once the cancer metastasises to distant areas, this figure falls again to around 40%. (By comparison, once lung cancers are detected, the patient often has an average of 6 months to live.)
Having the cancer run in your family doesn%26#039;t generally change these figures - it will still depend on the spread. Recommendations vary, but many health authorities recommend that men get screened (preferably rectal exam plus blood [PSA] test) every 2 years from 50 to 70 years. If you have a family history, you should probably start a little earlier, from about 40.
Hope this helps! Let me know if you require further information.|||Very good with treatment. My husband had it five years ago and had seeds implanted and radiation treatments and every years he is tested and has remains cancer free.