Prostate cancer is just nasty. I had a coworker who discovered his late like this. It had metastasized. It’s really not that uncommon with prostate cancer.
I know everyone wants to slap on their tinfoil hat, but it’s just a nasty cancer and a shitty situation. It’s really not deeper than that.
Discovery =/= how fast it actually metastasizes. It's pretty common to discover these at advanced stages, as with other cancers.
What's unbelievable is that this was missed when Biden at 81 would be seeing a physician very frequent given his state and given he's literally POTUS.
Here, hope this helps
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how fast does a Gleason score 8 or above prostate cancer metastasize?
Prostate cancer with a Gleason score of 8 or above is classified as high-grade, indicating aggressive cancer cells that are more likely to grow and spread quickly compared to lower-grade cancers. The rate of metastasis (spread to other parts of the body, such as lymph nodes, bones, or organs) varies depending on several factors, including the specific Gleason score (8, 9, or 10), the primary and secondary Gleason patterns, PSA levels, tumor stage, and whether treatment is initiated. Below is a detailed overview based on available information:
General Timeline for Metastasis
Gleason Score 8 (Grade Group 4): This includes patterns like 4+4, 3+5, or 5+3. These cancers are aggressive but somewhat less so than Gleason 9 or 10. Without treatment, metastasis may occur within 1–3 years in many cases, particularly to lymph nodes or bones, though this can vary widely. Studies suggest that Gleason 8 cancers with a pattern 5 component (e.g., 3+5 or 5+3) may have a worse prognosis than 4+4 cancers, with a higher risk of metastasis.
Gleason Score 9–10 (Grade Group 5): These are the most aggressive, including patterns like 4+5, 5+4, or 5+5. Untreated, these cancers can metastasize more rapidly, potentially within 12–24 months or even faster in some cases, especially with patterns like 5+4 or 5+5, which show poorer outcomes. For example, a 2020 study found that at 10 years, the risk of prostate cancer death was 45% for Gleason 4+5, 56% for 5+4, and 66% for 5+5, indicating increasing aggressiveness with higher pattern 5 proportions.
Population-Based Data: A SEER database analysis (2006–2008) of metastatic prostate cancer (mPCa) patients with Gleason scores 6–10 showed 4-year prostate cancer-specific survival (PCSS) rates of 44% for Gleason 8, 33% for Gleason 9, and 21% for Gleason 10, reflecting higher metastatic potential with increasing scores. This suggests that Gleason 8–10 cancers often present with or progress to metastasis within a few years if untreated.