Prostate cancers are grouped according to how quickly they spread and how different they are from the surrounding prostate tissue. This is called staging. There are several different ways to stage tumors, a common one being the A-B-C-D staging system, also known as the Whitmore-Jewett system:
Stage A: Tumor is not felt on physical examination, and is usually detected by accident after prostate surgery is done for other reasons.
Stage B: Tumor is only in the prostate and usually detected during a physical exam or with a blood test (PSA test).
Stage C: Tumor has spread beyond the prostate but is not in the lymph nodes.
Stage D: Tumor has spread (metastasized) to lymph nodes or other parts of the body, such as the bone and lungs.
This system also contains several substages.
Symptoms Return to top
With the advent of PSA testing, most prostate cancers are now found before they cause symptoms. Additionally, while most of the symptoms listed below can be associated with prostate cancer, they are more likely to be associated with non-cancerous conditions.
Urinary hesitancy (delayed or slowed start of urinary stream)
Urinary dribbling, especially immediately after urinating
Urinary retention
Pain with urination
Pain with ejaculation
Lower back pain
Pain with bowel movement