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Eligard (leuprolide acetate for injectable suspension)

What Is Advanced Prostate Cancer?

Diagnosing Advanced Prostate Cancer

Doctors use two systems to characterize cancer: a "grading" system and a "staging" system. Grading tells the doctor how aggressive the tumor might be, based on the appearance of cells in the biopsied tissue sample. Prostate cancer staging refers to the size of the tumor and whether or not it has spread. Depending on the prostate cancer grade and stage, your doctor may classify your cancer as localized or advanced prostate cancer.

Grading System

The most common type of grading system is called the Gleason Score. It tells doctors how aggressive a tumor might be and is based on a score of 2 (the lowest) to 10 (the highest).

Types of Staging Systems

There are several types of staging systems doctors can use:
  • Roman numerals (I - IV) System
  • ABCD System
  • TNM (Tumor, Node, Metastasis) System

Ask your doctor what grade and stage of prostate cancer you have and how that diagnosis was made.

Treatments for Advanced Prostate Cancer

To learn about treatments for advanced prostate cancer, see the "Treating Prostate Cancer" section of this Web site.

Questions to Ask Your Doctor
  • What role does testosterone play in my prostate cancer?
  • What is my PSA?
  • What are my DRE results?
  • What is my biopsy result?
  • What staging system do you use?
  • What is the stage of my prostate cancer?
  • Can you please explain it to me?
  • What is my Gleason Score?
  • Can you please explain it to me?
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