The Process Of Prostate Cancer Staging

By Nancy Gardner


Staging of cancer is meant to help the medical practitioner to tell how far it has spread. You will have to go through a series of scans and tests to determine the extent of the pathology. From the results, effective treatment plans can then be put into action. Prostate cancer staging is therefore very important.

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.

T2 stage tumors are inside the prostate gland only. They are in three groups. The initial one is T2a where just half of gland lobes are affected. In T2b, more than half of the gland has been affected and lastly in T2c, all of lobes have been affected. If the malignancy has spread to the capsule of the gland, it is classified as T3 tumor.

In tumor stage 4, the malignancy cells have gone on to affect the other regions of the body. The areas which are likely to be affected include the bladder, rectum, pelvic cavity sides and the muscles. The third and fourth stages are the most critical ones.

The lymph nodes will be described to be positive if they have cancerous cells. This makes them enlarge. The degree of enlargement is directly proportional to the number of cancer cells in the lymph node. In NX stage, the nodes can not be checked while in N0 stage, the nodes close to the gland have not been affected. In N1 stage, the lymph nodes have cancerous cells.

In metastasis staging, the first one is Mo where the malignancy has not spread out of pelvis. In M1, the malignancy has reached outside the pelvis. This stage has three subdivisions. In M1a, the cancerous cells have not affected the lymph nodes which are not in the pelvis while in M1b, the malignancy has spread to the bone. Last come M1c in which the cancer has spread to the rest of body organs. There are different things which have to be put into consideration when staging the cancer. Mostly, it is the invasiveness of the disease and its aggressiveness.

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.

Even with the small tumors of prostrate, metastasis is possible. This cancer tends to be very aggressive. In such the staging of such a cancer, if the scans of the skeletal system come back positive, the staging should follow the metastasis aspect. It needs immediate action so as to minimize the spread and suffering. Also, complications will be minimized. The person can go on with his or her life normally for many years if the management follows the standard protocol.




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