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Stage 2

In stage 2 prostate cancer, the cancer is still confined to the prostate and has not spread to other parts of the body. In stage 2, the cancer cells are more aggressive than in stage 1 and more likely to spread beyond the prostate if left untreated. Men with stage 2 cancer may have mild, if any, symptoms. Stage 2 patients typically have a very good prognosis and a high survival rate. Stage 2 prostate cancer is divided into two stages, known as 2A and 2B.

Stage 2A prostate cancer:

  • is found by needle biopsy (such as for a high PSA level) or in a small amount of tissue during surgery for other reasons (such as benign prostatic hyperplasia). The PSA level is lower than 20 and the Gleason score is 7; or
  • is found by needle biopsy (such as for a high PSA level) or in a small amount of tissue during surgery for other reasons (such as benign prostatic hyperplasia). The PSA level is at least 10 but lower than 20 and the Gleason score is 6 or lower; or
  • is found in one-half or less of one lobe of the prostate. The PSA level is at least 10 but lower than 20 and the Gleason score is 6 or lower; or
  • is found in one-half or less of one lobe of the prostate. The PSA level is lower than 20 and the Gleason score is 7; or
  • is found in more than one-half of one lobe of the prostate. The PSA level is lower than 20 and the Gleason score is 7 or lower; or
  • is found in more than one-half of one lobe of the prostate. The PSA level and the Gleason score are not known.

Stage 2B prostate cancer:

  • is found in opposite sides of the prostate. The PSA can be any level and the Gleason score can range from 2 to 10; or
  • cannot be felt during a digital rectal exam and is not visible by imaging, and the tumor has not spread outside the prostate. The PSA level is 20 or higher and the Gleason score can range from 2 to 10; or
  • cannot be felt during a digital rectal exam and is not visible by imaging, and the tumor has not spread outside the prostate. The PSA can be any level and the Gleason score is 8 or higher.

Treatment options for stage 2 prostate cancers may include:

As with stage 1, the survival rate for men treated with stage 2 prostate cancer is high. The 5 year survival rate exceeds 99%, according to the American Cancer Society.

Learn about Stage 3 prostate cancer»

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Karen Cornett is a Registered Nurse who is committed to the highest level of patient quality of care and patient advocacy. She has worked for International HIFU since 2011, and typically travels to our Puerto Vallarta, MX and Nassau, Bahamas International Treatment Centers.
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Why Sonablate?


The Sonablate system incorporates customized treatment and safety technologies in an effort to strike a balance that has been difficult to achieve in prostate cancer treatment—increasing disease control capabilities while decreasing quality-of-life side effect risks.

A Sonablate HIFU physician can completely customize a patient's treatment plan based on real-time tissue response, tissue density and location of vital structures. Competitive devices are limited to three pre-set power levels: primary, repeat HIFU and salvage (post radiation treatment), no patient receives a customized treatment based on their personal anatomy.

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