Recurrent prostate cancer


Malignant neoplasm of the prostate develops in older men and is characterized by extremely slow growth.Relapse of simplicity cancerin the form of a repeat cancerous tumor is dangerous by the spread of mutated tissues to neighboring organs and systems. Oncoforming of the prostate gland is also actively metastasized, which is manifested by secondary oncology in the liver, lungs, brain and bones.

In the late stages of the disease, patients suffer from intense pain syndrome, metastasis and cancer intoxication. Such processes often lead to death.

Why does the affliction return?

Repeated tumor formation in the prostate gland can be observed after surgical treatment as a result of incomplete excision of malignant cells. Often the disease is diagnosed after the end of radiation therapy and chemotherapy. In such cases, doctors talk about a biochemical relapse.

Repeated neoplasms predominantly affect patients in whom oncological treatment was performed in 3-4 stages. In this case, the source of tumor growth is a metastatic node.

The first signs of secondary prostate cancer

At the initial stages the disease is asymptomatic. The patient, as a rule, does not suspect that he has a relapse of prostate cancer. Further tumor growth provokes such symptoms:

  • violation of urination;
  • weak jet of urine;
  • a feeling of "overflow" of the bladder;
  • frequent urge to urinate, which worsen at night;
  • periodic pain in the lower abdomen.

In later stages, pathology is manifested by such a clinical picture:

  • chronic intense pain in the spine and pelvic bones;
  • general malaise and constant fatigue;
  • lack of appetite and weight loss.

Necessary analyzes and examinations

The disease is diagnosed by the results of such studies:


Blood test for PSA marker:

Normally, the prostate produces a special protein that keeps the seminal fluid in a liquid state. The growth of mutated tissues of the organ provokes an increased synthesis of this substance. By the concentration of PSA (prostate-specific antigen), a specialist can determine the presence of a malignant neoplasm of the prostate.

Finger rectal examination of the gland:

In this case, prostate cancer, the relapse of which is confirmed by a laboratory blood test, requires palpation. The doctor through the rectum feels the pathological area. It can reveal the compaction of the tissues and the roughness of the surface of the tumor.


This is the method of establishing a definitive diagnosis. The surgeon, at the same time, removes a small part of the cancerous tumor with a puncture method. Further histological and cytological analysis of the biopsy specimen determines the exact diagnosis.

Transrectal ultrasound:

UZD diagnostics in such cases are ineffective, because according to its results, a specialist can not establish a benign or malignant character has a tumor. Such a study is considered an auxiliary method and is aimed at clarifying the localization of the neoplasm.

Radiography of the bone system, computer and magnetic resonance imaging are performed to determine metastases.

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Recurrence of RP is a dangerous condition that requires timely diagnosis and comprehensive treatment. The main principles of therapy are the following:

  1. Primary surgical removal of the prostate gland.
  2. Radiation therapy in detecting the first signs of relapse.
  3. The spread of metastases in the lymphatic and circulatory systems is a direct cause of chemotherapy.
  4. Postoperative monitoring of the patient's condition. For this, a person should undergo a preventive checkup twice a year with an oncologist.

The therapeutic tactics for secondary cancer damage depends on the previously conducted method of therapy. If a patient underwent a prostatectomy in the past, he was given a course of radiation therapy. It should be borne in mind that doctors do not prescribe the reassignment of ionizing radiation. In such cases, the patient undergoes systemic chemotherapy.

In the absence of a preliminary surgical operation, repeated oncology of the prostate gland is subject to radical excision. In the future, the patient must constantly monitor the PSA marker level.

Read also: How to treat prostate cancer without surgery?

What if the recurrence of prostate cancer arose after surgery?

If, after surgery, the patient shows signs of cancer growth and an increase in the level of PSA, then oncologists recommend taking radiotherapy. Highly active radiographic rays, as a rule, destroy the remaining cancer cells after surgery.

The ineffectiveness of such treatment is explained by the spread of metastases to distant organs and systems. At this stage, the patient undergoes chemotherapy, which is aimed at stabilizing the oncological process. Therapeutic measures for tumor metastasis are symptomatic, eliminating only certain symptoms of the disease.

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Forecast and how many live such patients?

In general, the survival rate of patients with oncological lesions of the prostate gland is quite high. So, after the timely removal of the organ, the five-year survival rate is 60-95%. In this regard, the prognosis of the disease is considered positive.

Recurrent prostate cancerworsens such statistics. This complication is diagnosed quite often. In such cases, 15-30% of cancer patients may have a lethal outcome. The mortality of patients with a secondary tumor for 10 years is 15-20%.