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  1. PSA blood test. Prostate-specific antigen (PSA) is a protein made by cells in the prostate gland (both normal cells and cancer cells). PSA is mostly in semen, but a small amount is also in the blood. Use in men who might have prostate cancer. The PSA blood test can be used to screen for prostate cancer in men without symptoms.

    • Overview
    • How prostate cancer is diagnosed and staged
    • Stage 1 prostate cancer
    • Stage 2 prostate cancer
    • Stage 3 prostate cancer
    • Stage 4 prostate cancer
    • Prostate cancer stages at a glance
    • The bottom line

    Doctors classify prostate cancer by stages depending on how much it has spread in the body. Tumors may also receive a grading score based on the mutations of the cancer cells.

    Prostate cancer is the second most commonly diagnosed cancer in males, only behind skin cancer. In 2018 alone, nearly 1.3 million new cases of prostate cancer were reported worldwide.

    Prostate cancer tends to progress slowly and less aggressively than many other types of cancer. If you detect prostate cancer in the early stages, there’s a very high chance of survival. In the United States, the 5-year survival rate with prostate cancer is close to 98 percent.

    Prostate cancer can be classified into four different stages, depending on how advanced it is.

    In the first stage, the tumor is only affecting your prostate and hasn’t spread to other tissues. At stage 4, the tumor has spread to tissue beyond the prostate and possibly to distant parts of your body.

    In this article, we take a deeper look at the different stages of prostate cancer. We also break down all the terminology you’ll need to understand about these stages.

    Cancer staging helps you and your doctor understand how advanced your cancer is and how much it has spread at the time of diagnosis. Knowing your cancer stage also helps your doctor determine the best treatment options for you and estimate your chance of survival.

    The most widely used staging system for cancer is the American Joint Committee on Cancer’s TNM system that classifies cancer from stage 1 to stage 4.

    TNM stands for:

    •Tumor: the size and extent of the tumor

    •Nodes: the number or extent of nearby lymph node involvement

    •Metastasis: whether cancer has spread to distant sites in the body

    Stage 1 is the least advanced form of prostate cancer. Cancer in this stage is small and hasn’t spread past the prostate gland. It’s characterized by a PSA of less than 10 ng/mL, a grade group score of 1, and a Gleason score of 6.

    Stage 1 prostate cancer has a 5-year survival rate of nearly 100 percent.

    In stage 2, the tumor is still confined to your prostate and hasn’t spread to lymph nodes or other parts of your body. A doctor may or may not be able to feel the tumor during a prostate exam, and it may appear on ultrasound imaging. The survival rate is still near 100 percent.

    The PSA score for stage 2 is less than 20 ng/mL.

    Stage 2 cancer is further divided into three phases depending on the grade group and Gleason scores:

    •Grade group: 1

    Stage 3A

    In this stage, cancer hasn’t spread outside of your prostate or to any lymph nodes. •Grade group: 1 to 4 •Gleason score: 8 or less •PSA: 20 ng/mL or higher

    Stage 3B

    Cancer at this stage has grown outside your prostate and may have spread to your seminal vesicles or other surrounding tissue. It hasn’t spread to lymph nodes or to other parts of the body. •Grade group: 1 to 4 •Gleason score: 8 or less •PSA: any level

    Stage 3C

    The cancer may or may not be growing outside your prostate, such as the lymph nodes or other nearby organs. •Grade group: 5 •Gleason score: 9 or 10 •PSA: any level

    Stage 4 is the most advanced stage of prostate cancer and is divided into two letter groups. Stage 4 prostate cancer can have any grade group, PSA value, and Gleason score.

    By stage 4, cancer has typically spread to distant parts of your body. If it has spread to other organs, the 5-year survival rate drops to about 30 percent.

    Here’s a brief summary of how each stage of prostate cancer compares:

    Prostate cancer is most commonly grouped into four stages based on the American Joint Committee on Cancer’s TNM system.

    Higher stages of cancer are more advanced than lower stages. Knowing which stage your cancer is in helps your doctor determine the best treatment options for you.

    • Daniel Yetman
  2. Prostate Health Index (PHI) is a blood test that predicts the chances that you will develop prostate cancer. Prostate Cancer Antigen 3 (PCA3) test is a urine (pee) test that looks for PCA3 in the urine. PCA3 is a gene that is normally. expressed. in low levels in the prostate.

  3. Oct 22, 2024 · A prostate biopsy is a procedure that helps diagnose prostate cancer. The prostate is a gland found only in males and is part of the reproductive system. Prostate cancer is the most common cancer in males. It’s also one of the most treatable cancers since it’s usually caught before the cancer has spread. Here, I’ll answer common questions ...

  4. Jun 25, 2020 · Subclinical prostate cancer is common in men >50 years. Population-based screening of men aged between 55 and 69 years, using prostate-specific antigen (PSA) testing, has been evaluated.1 After a median follow-up of 16 years, the European screening trial demonstrated a 25% relative reduction in prostate cancer mortality. However, 570 men needed to be invited for screening and 18 patients ...

    • A. Horwich, C. Parker, Chris Bangma, Vesa Kataja
    • 2010
  5. Jun 14, 2024 · Once a prostate cancer diagnosis has been made, your doctor works to determine the extent (stage) of the cancer. If your doctor suspects your cancer may have spread beyond your prostate, one or more of the following imaging tests may be recommended: Bone scan. Ultrasound. Computerized tomography (CT) scan.

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  7. Dec 23, 2021 · Background Combining targeted biopsy (TB) with systematic biopsy (SB) is currently recommended as the first-line biopsy method by the European Association of Urology (EAU) guidelines in patients diagnosed with prostate cancer (PCa) with an abnormal magnetic resonance imaging (MRI). The combined SB and TB indeed detected an additional number of patients with clinically significant prostate ...

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  2. Learn Why To Test For HRR mutations In All Metastatic Prostate Cancer Patients. Step Up To Prostate Cancer And Learn More About HRR Testing.

  3. See Disease Assessment In Prostate Cancer Even When PSA Levels Are Low. Visit The Official HCP Website For More Prostate Cancer Information and Learn More

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