Advanced prostate cancer

Advanced prostate cancer means that the cancer has moved beyond the prostate gland. It is not localized cancer (cancer that is only confined to the prostate gland).

It may further be defined as locally advanced, regionally advanced, or metastatic cancer.

Locally advanced cancer: The cancer has spread to tissues near the prostate gland, such as the seminal vesicles, or organs near the prostate, such as the bladder or rectum.

Regionally advanced cancer: The cancer has spread beyond the prostate to the nearby lymph nodes.

Metastatic cancer: The cancer has spread to other areas of the body, such as the lymph nodes and/or bones. Click to learn more.

The suggested treatment options for a man with advanced cancer are likely to be different than for a man with localized cancer. According to the American Cancer Society, the following treatment options for advanced prostate cancer may include:

For cancers that have spread outside of the prostate gland, but have not reached the bladder or rectum

  • External beam radiation therapy (EBRT) plus hormone therapy
  • EBRT plus brachytherapy and possibly short-term hormone therapy
  • Hormone therapy alone
  • Radical prostatectomy, but only in some cases
  • Active surveillance, if a man has other serious health issues
  • Participating in a clinical trial of newer (or perhaps experimental) treatments

 

For cancers that have spread to the bladder, rectum, or other areas

  • Hormone therapy
  • EBRT plus hormone therapy, in some cases
  • TURP surgery to relieve symptoms like bleeding or urinary obstruction
  • Active surveillance, if a man has other serious health issues
  • Participating in a clinical trial of newer (or perhaps experimental) treatments

Other treatments may also be used to help lessen symptoms, such as bone pain.

 

Updated 4/12

Always discuss everything you read on this web site with a qualified medical professional.

Next: Prostate cancer statistics

Disease 101
What is prostate cancer?
What are the causes?
Symptoms
PSA testing
Digital rectal exam
Diagnosis
Gleason score
Staging
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