Stages of Prostate Cancer

The TNM system is used to stage prostate cancer, and it helps doctors understand what your cancer looks like. The TNM stands for:

  • Tumour – The degree to which the tumour has affected other tissue
  • Node – Is a measure of whether lymph nodes have been affected
  • Metastasis – The degree to which the cancer has spread to other organs of the body

Along with the TNM information, your doctor will also take into consideration your PSA (prostate specific antigen) level from a blood test, as well as your Gleason score to help determine the stage of your cancer.  The Gleason score is usually based on the results of a biopsy of the prostate, and it provides an indication of how quickly the cancer will grow and spread.

Stage I

The tumour is in half or less than half of the prostate, and has not spread

Stage IIA

The tumour may be in more than half of the prostate, and has not spread

Stage IIB

The tumour has not spread outside of the prostate

Stage III

The tumour has spread beyond the outer layer of the prostate, but not to lymph nodes

Stage IV

The tumour has spread to nearby tissues, lymph nodes or other organs of the body

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