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A common system used by doctors to determine the stage of prostate cancer is the TNM (tumor, node, metastasis) system. Cancer is staged according to:
= the type of tumor
= tumor spread to the lymph nodes
= tumor spread to distant sites
The tumor has spread beyond the prostate into surrounding structures including the pelvic lymph nodes ( N+ ). Possible symptoms may include a need to urinate frequently, painful, obstructed urine flow (blood may appear in urine), and fatigue. Treatment may involve hormone therapy, possibly with radiation to ease symptoms.
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