Stage 3 Prostate Cancer and Its Treatments

STAGE 3 PROSTATE CANCERStage 3 or C prostate cancer is an indication that the cancer has spread out outside the prostate gland as its primary setting. The stage can further be decided after proceeding digital rectal examination which will later be extended to areas around the gland.

In addition, this stage is divided in to several categories which are determined by the areas that affected by the cancer.

  1. T3A is a condition when the tumor reaches out one side of the outside part of the prostate gland.
  2. T3B is similar to T3A, but it happens on both sides of the prostate.
  3. T3C is even wider in terms of the affected areas. It is to indicate a condition when the tumor is detected on one or both seminal vesicles.

Now that you have known a little more about stage 3 prostate cancer, you must note down these following treatments that are recommended to you, with a condition that your doctors say so.


  1. Radiation Therapy

The most common radiation therapy is EBRT or External Beam Radiation Therapy which uses external machine to send out the radiation to the exact area in your prostate gland. The therapy will be done through 6 to 8 weeks.

Besides EBRT, another radiation therapy is Brachytherapy which is proceeded by using radioactive seeds that are planted inside the gland.

  1. Combined Modality Therapy

This therapy will combine a series of chemotherapy, surgery, radiation therapy and hormonal therapy to increase the survival rates. It is also suggested for several cases because either radiation therapy or surgery can guarantee that the cancer cells will not recur.

Each of the treatments will give different effects to the body. For example, hormone therapy can prevent male hormones to cause the growth of prostate cancer, while surgery will have the doctors to remove the man’s prostate gland.

  1. Radical Prostatectomy

Radical Prostatectomy is taken as the choice because in stage 3 prostate cancer, the cancer cells are not only located in the gland, but outside of the prostate which can no longer be cured through a surgery.

Yet, it may only be done after the patient’s pelvic lymph nodes are removed to check whether cancer cells have also invaded in them. If the result is positive, radical prostatectomy will not be proceeded, but it is replaced by either hormone therapy or radiation therapy. On the other hand, if there is no sign that the cancer cells spread out to the lymph nodes, radical prostatectomy can follow.

However, there are actually several more things which are suggested to get more improved result of the treatments for stage 3 prostate cancer.


  1. Hormonal therapy or chemotherapy may be proceeded before having surgery and radiation therapy. This way can make the local therapies (surgery and radiation) more effective because the cancer cells have been weakened by the neoadjuvent therapy (hormonal therapy and chemotherapy).
  2. Also, the hormonal therapy and chemotherapy may be combined in order to increase the survival rate of the patients.
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