How Is Metastatic Prostate Cancer Detected and Treated in Men Over 70?

Metastatic prostate cancer occurs when prostate cancer spreads beyond the prostate gland to other parts of the body, such as bones or lymph nodes. In men over 70, detecting and treating this condition involves careful consideration of age-related health factors.

Detection:
Metastatic prostate cancer is often detected through a combination of blood tests, imaging, and biopsy. A high level of prostate-specific antigen (PSA) in the blood can indicate cancer progression. Imaging techniques like bone scans, CT scans, or MRI help identify the spread of cancer. A biopsy may confirm the diagnosis if needed.

Treatment:
Treatment in older men depends on overall health, cancer spread, and personal preferences. Common options include:

• Hormone therapy (Androgen Deprivation Therapy): Lowers testosterone to slow cancer growth.

• Chemotherapy: Used when hormone therapy is no longer effective.

• Targeted therapy or immunotherapy: Newer options that may be suitable for some.

• Radiation therapy: Especially for pain relief in bone metastases.

• Palliative care: Focused on improving quality of life, especially in advanced stages.

Doctors often personalize treatment to balance effectiveness with potential side effects, considering the patient’s age, existing conditions, and lifestyle.