How to treat bone metastasis in advanced prostate cancer?

Written by Yan Chun
Oncology
Updated on March 21, 2025
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For cases of advanced prostate cancer with bone metastasis, the following clinical treatment measures can be taken:

Firstly, for the pain caused by bone metastatic lesions, symptomatic pain relief treatment should be administered with medication. The pain from bone metastatic lesions generally presents as moderate to severe, and medications usually involve weak or strong opioids for pain relief. For some patients with advanced bone metastases, pathological fractures may occur, necessitating treatments such as bone stabilization and bone cement.

For some patients with advanced bone metastasis from prostate cancer, monthly injections of zoledronic acid can also be administered to treat the bone metastases. When prostate cancer has metastasized to the bone, it indicates that the disease is at an advanced stage, and the opportunity for curative surgery is lost. In most cases, treatments such as targeted therapy and endocrine therapy are adopted as conservative medical approaches.

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Prostate cancer radiotherapy is conducted in what way?

Indications for radiation therapy for prostate cancer include clinical stages T1 to T4, M0 to M1. M0-stage prostate cancer patients undergo radiation therapy techniques including external beam radiation and brachytherapy. External beam radiation techniques comprise conventional radiation therapy, three-dimensional conformal radiation therapy, and intensity-modulated radiation therapy. Permanent seed implantation is used only for the treatment of early-stage localized prostate cancer with a good prognosis. External radiation therapy is divided into three categories based on therapeutic objectives: curative, adjuvant, and palliative radiation therapy.

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Can prostate cancer be detected by color ultrasound?

Ultrasound is also a method for screening prostate cancer, but it is generally combined with Prostate Specific Antigen (PSA) for a comprehensive consideration in prostate cancer screening. If prostate nodules are found during a prostate color Doppler ultrasound, the differentiation between prostate cancer and benign prostatic nodules can be aided by the variations in internal echoes, but this is only a reference and cannot be 100% certain. Thus, in clinical practice, it is also combined with PSA for a comprehensive evaluation. Generally, a PSA greater than 10 suggests a higher likelihood of malignancy. The diagnosis of prostate cancer requires a biopsy to confirm the pathology.

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Can prostate cancer patients eat milk and eggs?

Prostate cancer is the most common malignant tumor in the male urinary reproductive system, with 80% of cases occurring in elderly individuals over the age of 65. From an etiological perspective, a high-fat diet may be a contributing factor to prostate cancer. However, we know that malignant tumors are consumptive diseases, and nutritional status is crucial during the treatment and recovery process, especially in elderly individuals with weaker constitutions. Therefore, patients with malignant tumors should ensure adequate nutrition intake, particularly protein intake. Milk and eggs are common foods for the general population and offer a cost-effective source of nutrition. They can be included in the diet of prostate cancer patients. Of course, dietary intake should focus on healthy proportions. It is not about consuming only milk and eggs at every meal but maintaining a normal and healthy dietary balance, which is better for the patient.

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Is prostate cancer sexually transmitted?

Prostate cancer is non-contagious; therefore, it cannot be transmitted through sharing utensils, eating together, or through respiratory pathways. Secondly, prostate cancer is not transmitted through sexual activity; it is non-contagious. In clinical settings, many family members of patients inquire whether malignant tumors are contagious and if they could be infected while caring for the patient. It is important to clarify that malignant tumors are not contagious, and prostate cancer cannot be transmitted through sexual activity.

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Can prostate cancer be cured?

Prostate cancer, whether it can be cured or not, depends on the specific analysis of the patient with prostate cancer. If it is an early-stage patient, meaning there is no metastasis to distant organs, and it is assessed that radical surgery or radical radiotherapy can be performed, then these early-stage prostate cancer patients still have the hope of being cured through these treatment methods. However, for patients with advanced prostate cancer, such as those who are diagnosed with multiple bone metastases at the onset—a very common clinical occurrence, prostate cancer combined with bone metastasis is very common—these advanced-stage prostate cancer patients cannot be cured through treatment. The purpose of treatment is to alleviate the patient's pain and extend the patient's survival, but these advanced-stage patients cannot be cured.