/Advanced prostate cancer
Advanced prostate cancer2017-02-17T05:55:10+00:00

When prostate cancer grows and spreads beyond the prostate gland it is described as ‘advanced’. There are three advanced forms of the disease:

  1. LOCALLY ADVANCED: This is where the cancer has spread to tissue immediately surrounding the prostate. After surgery to remove the tumour, your surgeon may wait three months to test whether the condition remains. Depending on your new PSA test results, the recommended course of action may involve active surveillance, hormone therapy and post-operative radiation to give you the best shot at a cure. Essentially your surgeon or radiation oncologist needs to plan your treatment on an individual basis as there are no 100% certainties in cancer management.
  2. ADVANCED: This is where tests or scans suggest the cancer has spread to the lymph nodes or other areas outside the prostate. After your therapy, if your PSA level is still detectable and rising rapidly, your medical specialist and/or General Practitioner may order tests and scans to look for the spread of cancer and locate its position.
  3. METASTATIC: If scans reveal definite tumour activity outside your prostate this is described as metastatic prostate cancer. Common places for the cancer to spread include the lymph nodes in your pelvis, tissue in and around your pelvis and abdomen, and bones in the hips and back. Hormone and medication therapies may be recommended as your treatment.

How can TrueNTH help?

TrueNTH staff will work with you to get the best possible therapy outcome and quality of life. The process will be something like this:

  • You discuss your condition and situation with your Care Coordinator, usually an expert prostate cancer nurse. They will get to know you and your partner’s needs and preferences about therapy and life in general.
  • Your Care Coordinator will liaise with your medical team, including GPs and specialists, to advocate for your preferred course of action. They take into account any other illnesses you have, such as diabetes or high blood pressure, and how these may affect your cancer journey and quality of life.
  • You may be referred to a dietitian for a balanced meal plan and an exercise physiologist, either local or online, for assistance with maintaining or enhancing your fitness in a safe manner, using exercise appropriate for you.
  • You will also have access to psychological counselling and expert assistance with sexual or intimacy issues.
  • Your TrueNTH Care Coordination Team never discharges you from their care so you will always have a friend to walk through the journey with you and your partner/carer.

Recommended resources

Want to know more?

Any questions? Please call us on 1300 878 368.


  1. Christopher Ellis December 12, 2016 at 11:36 am

    This is the first time that the nature and scope of TruNTH is set out. Could it come earlier?

  2. dave hughes December 6, 2016 at 1:19 am

    radiation therapy ,diet/exercise,research trials are all options fro metastatic PCa

  3. Donna Cowan December 6, 2016 at 12:58 am

    Metastatic: should we be saying that treatment options are limited? We may be talking about a fellow who has progressive disease so has already exhausted surgery/radiation or a newly diagnosed advanced metastatic disease and hormone, chemo and immune therapies are the best option. These options are not limited, they are the treatment choice.

    • timpegler December 9, 2016 at 6:27 am

      Good point, Donna. Have fixed this.

  4. Nicolas Hart December 5, 2016 at 11:51 am

    It should be noted – in the area where exercise is mentioned – that it is safe to exercise with advanced prostate cancer, but only under the supervision of an accredited exercise physiologist. This should encourage the patient to access the TrueNTH service because, they really shouldn’t be “going rogue” and exercising without supervision if they’re advanced (i.e. bone metastases).

    Maybe adjust the line to say “in a safe manner using exercise appropriate for you”
    “You may be referred to a dietitian for a balanced meal plan and an exercise physiologist, either local or online, for assistance with maintaining or enhancing your fitness in a safe manner using exercise appropriate for you”

    • timpegler December 9, 2016 at 6:29 am

      Thanks Nicolas. Have incorporated your comments. T

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