What is locally advanced prostate cancer and how is it treated?
The spread of cancer is sometimes described in terms of ‘T’ or tumour stages. When cancer has spread through the capsule of the prostate or the seminal vesicles (T3) or into the surrounding structures (T4), it is called locally advanced prostate cancer. Men with locally advanced prostate cancer have a higher risk that cancer cells may have already spread. You may be offered other treatment to kill any cells that could have spread beyond the prostate.
You may be offered radiotherapy treatment to include the surrounding structures (as well as the prostate), usually in combination with 2-3 years of hormone therapy. Hormone treatment can delay or prevent the cancer coming back in other places and is given by tablets or injections.
There are three types of hormone therapy:
- Surgical removal of the testicles (called ‘orchidectomy’)
- Injections of drugs called ‘LHRH agonists’
- Anti-androgen drug therapy
You can read more about orchidectomy on our Treating Late Prostate Cancer Page.