Prostate Cancer
What does it mean if prostate cancer has spread?
What is the short answer?
Cancer cells have moved beyond the prostate, often to lymph nodes or bones.
It's serious, but there are effective treatments.
What else should I know?
Hormone therapy is the backbone, often combined with newer pills, chemotherapy, or radiation.
Many men live for years with good quality of life.
Your care team coordinates treatment and monitoring.
When should I make an appointment?
If you've been told your cancer has spread, schedule a visit to review your treatment options.
What happens at a visit?
Lilburn families are welcome at our Snellville Clinic & Surgery Center (1557 Janmar Rd, Snellville, GA 30078) and our Lawrenceville Clinic & Surgery Center (501 Crown Pointe Way, Lawrenceville, GA 30046). Our team will help you book at either one.
How do our urologists approach this?
When prostate cancer has spread, our urologists focus on controlling it and helping you feel as well as possible. Hormone therapy is usually the foundation, and we coordinate with oncology and radiation teams when other medicines or treatments are added. Imaging such as PSMA PET/CT helps show where the cancer is. We go over every option with you and your family in plain language.
What happens at a visit?
Bring your recent scans, PSA history and medicine list. We’ll explain what your imaging shows and talk about treatment goals. We’ll also plan how often we’ll check in, including tests that watch your bone health.
How should I prepare?
Gather your scans, PSA history and the names of every doctor involved in your care. A notebook or a trusted person to take notes can help, because a lot of information is shared at these visits.
When should I call?
Call us if you have new bone pain, trouble urinating, or side effects from treatment that are hard to manage. If you have sudden weakness in your legs, go to the ER.
What do patients often ask?
These are the questions we hear most, each with a short answer.
Is it still treatable?
Yes. It’s serious, but there are effective treatments, and many men live for years with good quality of life.
Is there a video on this?
Dr. Vahan Kassabian discusses advanced prostate cancer care in this Advanced Urology video.
- Watch: Theranostics & Advanced Prostate Cancer Care | Dr. Vahan Kassabian on Urology Times Podcast What the video covers: Dr. Vahan Kassabian joins the Urology Times podcast to discuss theranostics, PSMA imaging and 177Lu-PSMA therapy (Pluvicto) in prostate cancer care.
Where can I learn more?
Use this as a starting point for a conversation with us. Every Lilburn article