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 TNM staging system is the commonly accepted technique of staging prostate cancer. It assesses metastases, lymph nodes and tumor separately. T staging comes first. In tumor stage 1, the malignancy cells are so insignificant such that they cannot be picked up by scans or the normal laboratory tests. A needle biopsy has to be done for confirmation purposes.

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.

The final stage in tumor classification is T4 stage in which the tumor is found in various body organs. The nearby organs are mostly affected including the rectum, muscles, bladder and the pelvic cavity sides. The fourth and third stages are the most difficult to manage.

In lymph node staging, the guiding factor is the severity of the condition in the lymph nodes. They are said to be positive if they contain cancer cells. This makes them to swell. In NX stage, it is not possible to check them and in N0 stage the lymph nodes adjacent to the prostate have no cancer cells. However, in N1 stage, the malignancy has reached the lymph nodes.

If the tumor has metastasized, the level of metastasis has to be communicated. M0 stage means that the tumor is just within the pelvis while M1 stage means that the malignancy has spread out of pelvis. This stage has two sub stages. M1a stage means that the lymph nodes not in the pelvis have cancer cells while in M1b the malignancy has affected the skeletal system. M1c is diagnosed when the malignancy has invaded the rest of body organs. You need to consider a number of aspects if you are to make an accurate diagnosis.

Locally advanced type of prostate cancer extends just to the capsule of this gland but the metastasizing type spreads to many of body organs. Mainly, the victims of this spread are the bones and lymph nodes. This is why early detection is stressed to prevent such complications.

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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