Prostate Cancer- Determining Cancer

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The stage, or how far the cancer has spread, is an important part of assessing prostate cancer. When choosing therapies, knowing the stage helps define the prognosis. The four-stage TNM system, abbreviated as Tumor/Nodes/Metastases, is the most prevalent one. It is made up of the size of the tumor, the number of lymph nodes that are involved, and whether or not there are any other metastases.


Whether or not the cancer is still confined to the prostate is the most crucial distinction made by any staging system. Clinical T1 and T2 cancers are only found in the prostate in the TNM system, whereas T3 and T4 cancers have spread elsewhere. There are a number of tests that can be used to find signs of spread. When a doctor diagnoses early prostate cancer with a low risk of metastasis, medical specialty professional organizations advise against using PET, CT, or bone scans. When a CT scan looks for spread in the pelvis, a bone scan looks for spread to the bones, and endorectal coil magnetic resonance imaging looks closely at the prostatic capsule and seminal vesicles, those tests would be appropriate.


A pathologist examines the samples under a microscope following a prostate biopsy. The grade of the tumor is reported by the pathologist if cancer is present. The grade indicates the likelihood of the tumor growing quickly and how significantly the tumor differs from normal prostate tissue. Prostate tumors are graded using the Gleason system, which assigns a score between 2 and 10, with a score of 10 representing the most abnormalities. The pathologist gives the pattern that is seen most frequently under the microscope a number between one and five, and they do the same for the pattern that is seen second most frequently. The Gleason score is the sum of these two numbers. Another approach that is sometimes utilized is the Whitmore-Jewett stage.





Dr. Amit Ghosh is one of the best urologist and robotics uro-surgeon in Kolkata. After his return from the UK, he has been associated with various institutions including Wockhardt Hospital and Kidney Institute, Woodlands Hospital, Kothari Medical Center and Anandalok Hospital. Currently he is dedicated to his service to Apollo Gleneagles Hospitals, Kolkata. Currently he has developed a very well established and robust Urological presence in the campus of Apollo Gleneagles Hospitals, Kolkata. The practice takes care of all fundamental general Urological procedures, a vast multi-disciplinary Uro Oncology specialty, and also a comprehensive diagnostic and uro health check-up facility.

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