Questions

Can a prostate come back?

Can a prostate come back?

Your prostate cancer can have come back in one or more areas. It could be: in your prostate, if it hasn’t been removed by surgery. in the area around where your prostate used to be (the prostate bed) if the prostate has been removed by surgery.

Can biochemical recurrence be cured?

While many patients can be cured with definitive local therapy, some will have biochemical recurrence (BCR) of disease detected by a rising serum prostate-specific antigen (PSA). Management of these patients is nuanced and controversial.

What is biochemically recurrent prostate cancer?

A rise in the blood level of PSA (prostate-specific antigen) in prostate cancer patients after treatment with surgery or radiation. Biochemical recurrence may occur in patients who do not have symptoms. It may mean that the cancer has come back. Also called biochemical relapse and PSA failure.

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How long does PSA bounce last?

Sixty-one patients (29.6\%) experienced the PSA bounce phenomenon, at a median time of 16 months (range 6–36 months), with a median magnitude of 0.35 ng/mL (range 0.1–4.2 ng/mL) and for a median duration of 12 months (range 5–38 months) (Table 2).

Can the prostate gland grow back after removal?

If someone has a prostate enlargement at 50 years weighing more than 50 grams, he might have the potential for the prostate to regrow even after surgery and this propensity increases with larger prostates of more than 80-90 grams, as they tend to recur with age mostly five to ten years later.

Can prostate regrow after removal?

The prostate can regenerate when androgen is restored. A team of researchers led by Dr. Charles Sawyers of Memorial Sloan Kettering Cancer Center and Aviv Regev at the Broad Institute studied how normal prostate tissue restores itself after androgen deprivation therapy.

Will nerves regenerate after prostate surgery?

Nerve tissue can be easily damaged during robotic prostatectomy, regardless of the skill of the surgeon, and takes a long time to regenerate. It is believed that early postoperative medical therapy can aid an earlier return to potency.

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When do most prostate biochemical recurrences occur?

Median time to BCR ranges from 20 to 38 months (15, 19). Although BCR occurs more often in first 3 years from RP, longer follow-ups are required whereas a considerable number of patients may recur even after 15 years (20, 21).

What happens if PSA comes back?

PSA bounces typically occur between 12 months and 2 years following the end of initial therapy. If your PSA is rising but doesn’t quite reach these definitions, your doctor might initiate further testing to assess the risk that cancer has come back.

What is clinical recurrence?

Recurrence: The return of a sign, symptom, or disease after a remission. The reappearance of cancer cells at the same site or in another location is a form of recurrence.

What are the treatment options for a recurrent prostate infection?

– Mayo Clinic What are the treatment options for a recurrent prostate infection? A recurring prostate infection is usually treated with antibiotics. Also known as chronic bacterial prostatitis, this infection is caused by bacteria in the prostate gland.

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Can prostate cancer recur after surgery?

Prostate cancer can recur locally (in the area immediately surrounding the prostate) or distantly (anywhere else in the body). After surgery or radiation for prostate cancer that is confined to the prostate and nearby tissues, the prostate-specific antigen (PSA)…

Is there any follow-up treatment for prostate cancer?

If your prostate-specific antigen (PSA) blood level shows that your prostate cancer has not been cured or has come back (recurred) after the initial treatment, further treatment can often still be helpful. Follow-up treatment will depend on where the cancer is thought to be and what treatment (s) you’ve already had.

What is the prognosis of prostate cancer recurrence?

The risk of recurrence of prostate cancer (local or systemic) within 10 years after prostatectomy or radiation therapy is 27-53\%. Within 5 years after the initial treatment, 16 to 35\% of patients receive anti-relapse treatment. Earlier, a relapse was understood as a tumor, palpable through the rectum, as well as distant metastases.