How do you know if prostate cancer has spread to bones?

Bone pain is often the first sign that prostate cancer has spread to bones. Pain is caused by changes to the structure of the bones and inflammation from cancer cells. It may feel like a sharp pain or dull ache. It can be localized to one area or affect your whole body.
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What are the symptoms of prostate cancer in the bones?

Once prostate cancer has spread to the bones, symptoms can include:
  • bone pain.
  • weak bones that are more likely to fracture.
  • pain or stiffness in the neck or back.
  • trouble urinating.
  • constipation.
  • numbness and weakness from spinal cord compression.
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How do I know if my prostate cancer is spreading?

Prostate cancer can spread to the lymph nodes in the groin area, or to other parts of the body. The most common symptoms are swelling and pain around the area where the cancer has spread. Cancer cells can stop lymph fluid from draining away. This might lead to swelling in the legs due to fluid build up in that area.
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Where is the first place prostate cancer spreads to?

Answer From Karthik Giridhar, M.D. In theory, prostate cancer cells can spread anywhere in the body. In practice, though, prostate cancer metastasis occurs most often in the lymph nodes and the bones. Prostate cancer metastasis occurs when cells break away from the tumor in the prostate.
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What happens when prostate cancer reaches the bones?

Many men experience bone related problems as a result of prostate cancer or its treatment. Among other things, the spread of the prostate cancer to the bones (bone metastases) can cause severe pain and fracture, and hormonal therapy for prostate cancer can cause bone loss, fracture, and joint pain.
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Metastatic Bone Cancer: Bone Pain When Breast



What does bone metastases feel like?

Bone metastases are most likely to occur in the spine, ribs, hips, upper leg, upper arm, and skull. Sometimes the pain can be sharp. Other times it's a dull ache. There may also be some swelling at the site of the pain.
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What does bone pain feel like?

Bone pain usually feels deeper, sharper, and more intense than muscle pain. Muscle pain also feels more generalized throughout the body and tends to ease within a day or two, while bone pain is more focused and lasts longer. Bone pain is also less common than joint or muscle pain, and should always be taken seriously.
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Does a high PSA mean cancer has spread?

In most cases, a higher PSA level indicates a poorer prostate cancer prognosis. PSA is a protein made by prostate tissue. Men with prostate cancer often have elevated PSA levels because the cancer cells make excessive amounts of this protein.
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What does back pain from prostate cancer feel like?

Symptoms of advanced prostate cancer include: Dull, deep pain or stiffness in your pelvis, lower back, ribs, or upper thighs; pain in the bones of those areas. Loss of weight and appetite.
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How long does it take for prostate cancer to metastasize?

It can take up to 15 years for the cancer to spread from the prostate to other parts of the body (metastasis), typically the bones.
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How do I find out if I have bone cancer?

Biopsy: For this test, the doctor takes out small pieces of the tumor. These are checked for cancer cells. This is the only way to know for sure if you have bone cancer (and what type it is). Biopsies can be done with a hollow needle or with surgery.
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Can prostate cancer Spread with a low PSA?

In conclusion, prostate cancer may progress despite low serum PSA levels. Although this is an uncommon clinical scenario, patients with a high-grade Gleason score and undifferentiated tumors can progress to this event.
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What are the 5 warning signs of prostate problems?

What are 5 Common Warning Signs of Prostate Cancer?
  • Pain and/or a "burning sensation" when urinating or ejaculating.
  • Frequent urination, especially during the nighttime.
  • Trouble starting urination, or stopping urination once in progress.
  • Sudden erectile dysfunction.
  • Blood in either urine or semen.
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What are the 5 warning signs of prostate cancer?

Here are five potential warning signs of prostate cancer:
  • A painful or burning sensation during urination or ejaculation.
  • Frequent urination, particularly at night.
  • Difficulty stopping or starting urination.
  • Sudden erectile dysfunction.
  • Blood in urine or semen.
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Where is back pain located with prostate cancer?

Pain from prostate cancer often appears in the back. Cancer that has spread to the bones of the back may cause the pain, or the pain may appear in the back without the spread of the cancer. Treatment for prostate cancer can help reduce the pain. In addition, NSAIDs and opioids may lessen the discomfort.
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What is the highest PSA level ever recorded?

In this study, the highest PSA detected was 23,162 ng/mL.
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What is an extremely high PSA level?

PSA levels under 4 ng/ml are generally considered normal, while levels over 4 ng/ml are considered abnormal. PSA levels between 4 and 10 ng/ml indicate a risk of prostate cancer higher than normal. When the PSA level is above 10 ng/ml, risk of prostate cancer is much higher.
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What is the average PSA for a 70 year old?

3.5-4.5: Normal for a man 60-70 yrs. 4.5-5.5: Normal for a man 70-80 yrs.
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Why is bone pain worse at night?

During the night, there is a drop in the stress hormone cortisol which has an anti-inflammatory response. There is less inflammation, less healing, so the damage to bone due to the above conditions accelerates in the night, with pain as the side-effect.
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When should I be concerned about bone pain?

Even mild bone pain may indicate an emergency condition. If you experience unexplained bone pain that doesn't improve within a few days, consult your doctor. You should also see a doctor if the bone pain is accompanied by weight loss, decreased appetite, or general fatigue.
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What pain medication is best for bone pain?

Acetaminophen. Acetaminophen is usually recommended as a first line treatment for mild to moderate pain, such as from a skin injury, headache or musculoskeletal condition.
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How do you know if you have metastasis?

Symptoms of Metastatic Cancer

pain and fractures, when cancer has spread to the bone. headache, seizures, or dizziness, when cancer has spread to the brain. shortness of breath, when cancer has spread to the lung. jaundice or swelling in the belly, when cancer has spread to the liver.
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What is a common site for bone metastases to occur?

The spine is the most common site for bone metastases. Other common sites are the hip bone (pelvis), upper leg bone (femur), upper arm bone (humerus), ribs, and the skull. Normally, bone is maintained by 2 kinds of bone cells.
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Can radiation cure bone metastases?

Radiation therapy has long been used to shrink metastatic bone tumors to help relieve this pain, but no consensus has been reached about the optimal dose of such palliative radiation and whether it should be delivered in a single dose or in multiple treatments.
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