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Aggressive prostate cancer can vary in its rate of spread, but it typically grows and metastasizes more quickly than less aggressive forms. High-grade tumors, such as those classified as Gleason scores of 8-10, can spread to nearby tissues and distant organs within a few months to a few years if left untreated. Factors like the patient's age, overall health, and specific tumor characteristics also influence the progression pace. Regular monitoring and early intervention are crucial for managing aggressive prostate cancer effectively.

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