An article from Johns Hopkins shows that many men who develop a recurrence of prostate cancer after surgery, have a 50 percent chance of being alive more than five years later.

All men will develop prostate cancer if they live long enough, but only a small percentage will have symptoms from it. Current treatment for prostate cancer is watchful waiting, radioactive seeding or surgery depending on age and how malignant the cells look under microscope. Of those who have radical surgery, 50 percent will suffer recurrence of their cancer. Those at highest risk have a high Gleason score at the time of surgery that shows the cells look very malignant under the microscope and a rise above zero of the PSA blood screening test for recurrence.

Of the 50 percent of men who had recurrence of their cancers after surgery, half developed the spread more than eight years after surgery and half of the men who had recurrence were alive five years later.

JAMA, May 5, 1999

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