Community Member
6 months agoHello I have a Gleason 9 with spread to a few Lymph Nodes in pelvic area.Is it possible survival rate can be more than 5 to 10 years.
Accepted Answer
Many people with advanced prostate cancer do live well beyond 5-10 years, and treatment advances continue to improve outcomes for patients at all stages. Each person's journey is unique, and having conversations with your oncology team about your specific situation and treatment options can help provide more personalized insight into your prognosis and care plan.
3+ patients found this helpful
Community Member
6 months agoHi Gerard, speak with your doctor to perform a Decifer test for some answers to your questions. https://outcomes4me.com/article/what-is-the-decipher-test-and-how-does-it-guide-prostate-cancer-treatment/
Community Member
6 months agoThankyou Gerry
Community Member
6 months agoHi Gerard What is your decipher score if you had that done ? Charlie
Community Member
6 months agoI am a T3b, N1, M0, Gleason 9, 6 years post diagnosis with a PSA <.1 (considered undetectable). N1 mean one lymph node is cancerous. T3b means outside the prostatic margin but without distant (bones, liver, lungs) metastasis. So yes, more than 5 years is possible. My doc confirmed 98% 5 year survival at the time of diagnosis.
Community Member
5 months agoPretty bleak IMO
Community Member
5 months agoI was psa 330, metastasis to upper ribs. Gleason 9, 7 plus years in, now on pluvicto, cancer is in lymph nodes and bone. I have 2 more good years. Averages are meaningless. Low stress, exercise and great medical care helps. Bottom line no o e knows. My quality of life has been pretty good. Usual SEs , can adjust
Community Member
5 months agoYes. I know a person on Year 11 of a 2 year prognosis. You need to do as instructed by docs but plan your next steps, be proactive in researching. I know it is hard and exhausting but your self-advocacy will pay off.
Community Member
5 months agoThankyou JBB
Community Member
5 months agoDoctor Chaudhry from Dana Farber is my doctor. He did this test on me on June 11. I will be seeing him at the end of this month for blood work and medication follow-up. I will ask about this as well. Keep the faith brothers 🙏
Community Member
5 months agoGerard, I was given six months to 5 years. I was diagnosed with stage 4 my PSA 1,300 March of 2009. It’s been 17 years and I’m still alive and healthy enough. My PSA has just now started to rise and I’ve been put on Zytiga and prednisone which is controlling my PSA again. I’m hoping to get at least 10 more years God willing. Stay positive because no one can tell you how long you have to live! Pete
Community Member
5 months agoThankyou Pete Godbless
Community Member
5 months agoHi Pete Great attitude and God bless you
Community Member
5 months agoStop looking at the "possibilities " and quit "doomscrooling" Live your life to the fullest be diligent with your care and listen to the Doctors. Unless you are ENDSTAGE....none of them can predict lifespan. Averages....are just that and you are not average right?
Community Member
4 months agoThankyou Robert
Community Member
3 months agoWhen I was diagnosed back in December 2020. Gleason score of 9; 99% of prostrate was cancerous and spread to my lymph nodes. No surgeries, just 1 lupron shot every 3 months and 240 mg of Erleada (4 - 60 mg pills) daily. PSA was down to about 0.035, but then started going back up this year (0.91). Started a round of Pluvicto shots. After the second shot my PSA has started to decline. So it’s been almost 5 years since the diagnosis and plan on many more years, even though my doctor’s prognosis is 5 - 10 years from now. Dave
Community Member
3 months agoDavid, please let us know how it goes with Pluvicto. Be well!
Community Member
3 months agoTD H; I certainly will. Only side effect has been nausea during the first week after the shots. It’s not nice but livable.
Community Member
2 months agoMany people with advanced prostate cancer do live well beyond 5-10 years, and treatment advances continue to improve outcomes for patients at all stages. Each person's journey is unique, and having conversations with your oncology team about your specific situation and treatment options can help provide more personalized insight into your prognosis and care plan.
New to the community?
Create an account to connect with others navigating cancer.
  • Â
  • Â
  • Â
  • Â
© 2025 Outcomes4Me Inc. All rights reserved.