Treatment for prostate cancer that has spread or recurs

taken from Small Gland, Big Problem 4th Edition
by Professor Roger Kirby, Health Press 2011

If your cancer is known to have spread outside the prostate gland, or recurs after treatment, surgery will not be a good option for you and radiotherapy alone would not normally be used. Treatment options will depend on whether the cancer is still within the tissues immediately surrounding the prostate (“locally advanced”) or whether it has spread to other parts of the body (“metastatic”).