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"The fact that they took your prostate out is very Almost nobody dies (less than about 3%) with advanced prostate cancer for at least ten years that get their prostate out".
Frank where did the above information come from, I don't think I have seen ten years survival rate mentioned after prostate removed
European Urology Suppl 2008; 7(3):102 Article # 126
"Outcomes For Clinical T3B Prostate Cancer: A Single Institution Experience.
I reread the paper and the formatting on the titles had slipped so that the 10 year was over the 5 year data.
Cancer specific survival for T3B was actually:
96.7 % for 5 years
83.9 % for 10 years
after a prostatectomy and various salvage treatments.
This is also for cases starting in 1987. More recent cases should have a lot better outcome so I would probably stick to my 97% number for someone diagnosed in the last year or so since you can get an extra 18 months with some of the recent chemo drugs and a bit more time with some experimental treatments.
There is another paper with more recent data that I will post if I can find it that came to the conclusion that I will paraphrase as "if in doubt take it out". I feel that all surgeons should just remove what they can if you are already open on the operating table and that is what you want.
The below is a Mayo Clinic report of clinical T3 followed by surgery. Most patients were treated in early 90's and ten year survival from cancer was 90%; 15 year 79%.
More recent patients would expect greater survival, much more recent patients, much greater survival.
Radical prostatectomy for clinically advanced (cT3) prostate cancer since the advent of prostate-specific antigen testing: 15-year outcome.
Ward JF, Slezak JM, Blute ML, Bergstralh EJ, Zincke H.
Tarhoosier,
Thanks for finding that reference. These numbers give me a lot more optimistic outlook with my T3B case. All we need is one more significant treatment for advanced PC in the next 10 years (almost certain to happen) and I won't have to worry about it shortening my life.
Note that the study mentioned above was for men diagnosed with clinical T3 cancer. That is, before surgery they were known to have spread out of the organ. Such men often are pushed to radiation since cure by scalpel is so much less likely. Is it possible that men with pathological found spread after surgery (pT3) might do better then these brothers who in essence had a debulking surgery?
