Aspects Taken Into Account During Prostate Cancer Staging

By Nancy Gardner


Staging of tumors helps the doctor to tell how extensive the disease is. However, several scans have to be done and tests carried out for a proper diagnosis. From the results, management plans can then be drawn. This is why professionals in the medical field emphasize on prostate cancer staging.

The internationally accepted staging criteria takes into account the lymph node, metastasis and tumor factors . T1 stage tumors are very small such that they cannot be detected through scans or the techniques used in physical examination. You can only confirm the diagnosis by asking the patient to do a needle biopsy.

Stage two in the tumor classification system is divided into three. T2a means half of the prostate gland is affected while in T2b the area affected exceed half. In T3c, the whole of the gland has been invaded by the cancerous cells. In tumor stage 3, the capsule has been broken into by the cancerous cells. This stage also has been subdivided into T3a where the capsule is the only other place which has been affected besides the prostate gland and in T3b, seminal vesicles have been invaded by the cancerous cells.

Stage T4 tumors usually have metastasized. The common areas affected include the pelvic cavity, bladder and rectum. The T4 and T3 tumor stages are said to be locally advanced stages. These are the most difficult stages to treat.

Lymph nodes are said to be positive if they have been invaded by cancer cells. They will increase in size during this time. In stage NX, the lymph lodes have not been affected. In N0, the lymph node close to the prostate gland have no cancer cells but in N1 stage, the lymph nodes close to the gland have been affected

When classifying according to the degree of spread, the first stage is M0 which signifies that the tumor is confined just within the pelvis. In M1, the cancer has finally got out of the pelvis. It has sub stages. The first one is the M1a where the lymph nodes next to the pelvis have been affected and M1b means the skeletal system has been affected by the tumor. In M1c, the malignancy has eventually spread to the rest of a body. A couple of factors are considered in doing the staging.

Locally advanced cancer of the prostate is confined to the gland but the metastatic type has spread. The places which are hardly hit are the bones and lymph nodes. However, many a times it reaches other body organs too.

To note is that it is possible for the malignancy to spread even when it not advanced. This is why serious actions should be taken to manage the disease in case scans show that there is some degree of metastasis. The cure rates are high if the treatment is started early.




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