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Metastatic Prostate Cancer

Understanding Your Road: Stages of Advanced Prostate Cancer

Treatment of metastatic prostate cancer - Patient Information

Metastatic prostate cancer, sometimes referred to as ‘advanced prostate cancer’ describes prostate cancer that has spread to nearby or distant lymph nodes, bones, or other organs in your body.

Receiving a diagnosis of metastatic prostate cancer is challenging physically, mentally, and emotionally. However, the field of prostate cancer has been right with research, innovation, and drug development.  The comprehensive prostate cancer clinic at Fore River Urology is led by prostate cancer specialists in urologic oncology that will help you navigate and simplify a complex situation. Although difficult, metastatic prostate cancer can be extremely treatable with many different therapeutic options.

The field of advanced prostate cancer is rapidly changing, and having a team of specialists that dedicate themselves to prostate cancer care ensures that you will get cutting edge care close to home.  The doctors at Fore River Urology provide comprehensive prostate care from diagnosis to the most advanced medical therapies to control metastatic prostate cancer.

What therapies are available?

The mainstay of therapy for metastatic prostate cancer is androgen deprivation therapy (ADT), sometimes referred to as hormone deprivation therapy.  This is available in various forms at Fore River Urology.

ADT forms:

Find out what is right for you by speaking to your prostate cancer specialist.

  • Once daily ORAL pill, GnRH antagonist (relugolix / Orgovyx)
  • Once every 6 month depot injection of GnRH agonist (leuprolide / Eligard)
  • Once every 3 month depot injection of GnRH agonist (leuprolide / Eligard)
  • Bilateral orchiectomy (surgical removal of the testicles)

Novel hormonal agents:

Major advancing the field of prostate cancer over the past 10+ years has been the development of specialized novel hormonal therapeutic agents in the form of oral medicines. All of these medicines have improved overall survival and extended the quality and quantity of life in patients with metastatic prostate cancer. Speaking with your prostate cancer specialist at Fore River Urology can help you to find the right treatment plan.

  • Abiraterone (Zytiga, Yonsa)
  • Enzalutamide (Xtandi)
  • Apalutamide (Erleada)
  • Darolutamide (Nubeqa)

Castration Resistant Prostate Cancer:

Some prostate cancers after being exposed to an extended period of hormone deprivation therapy can eventually develop resistance to that medicine. This form of advanced prostate cancer is called castration resistant prostate cancer. Click the heading above to learn more.