Prostate Cancer Staging Radiology

Histology showed an acinar adenocarcinoma modified gleason score 3 3 6 g2a low grade.

Prostate cancer staging radiology. Transrectal ultrasonography trus is often initially performed to detect abnormalities and to guide biopsy usually following an abnormal psa level or dre. Tnm staging system is used for staging prostate cancer. Additionally there is some overlap with prebiopsy imaging assessment using prostate imaging reporting and data system pi rads. Radiation therapy also called x ray therapy uses high levels of radiation to kill prostate cancer cells or keep them from growing and dividing while minimizing damage to healthy cells.

The gleason score is used to determine the grade group. An old superseded staging system is the whitmore jewett staging system. Prostate cancer is one of the less common causes of cannonball metastases to the lung. Because prostate cancer is now commonly detected early an important role of imaging has become locating the disease within the gland.

See screening tests for prostate cancer. Early detection diagnosis and staging tests to diagnose and stage prostate cancer most prostate cancers are first found as a result of screening with a prostate specific antigen psa blood test or a digital rectal exam dre. It helps in establishing the diagnosis staging and monitoring therapeutic response. The tnm system for prostate cancer is based on 5 key pieces of information.

Tnm staging is based on clinical c and pathological p findings and if indicated on additional imaging findings. Both have the ability to impact greatly upon the selection of treatment. The most widely used staging system for prostate cancer is the ajcc american joint committee on cancer tnm system which was most recently updated in 2018. A staging system is a standard way for the cancer care team to describe how far a cancer has spread.

Locally advanced prostate cancer. For t staging a prostate mri is advised in. For prostate cancer imaging is important for assessing both primary disease and metastasis. Prostate cancer staging takes into account tnm primary site nodal and distant metastases pretreatment psa and histological grading.

Doctors use prostate mri to evaluate the extent of prostate cancer and determine whether it has spread. Intermediate risk prostate cancer predominantly gleason 4 pattern isup 3 high risk localized prostate cancer. Magnetic resonance imaging mri prostate. Mri was done for radiation therapy planning and staging purposes and shows two foci in the right apical and midglandular anterior and posterolateral peripheral zones.