Understanding your advanced prostate cancer (APC)

Helping you understand the journey from diagnosis to treatment

Every patient’s journey is different, and understanding your symptoms and test results may seem overwhelming.

Always remember to talk to your treatment team if you have any questions about your APC.

Common prostate cancer symptoms

  • Blood in the urine or semen
  • Difficulty getting an erection (erectile dysfunction or ED)
  • Pain in the hips, back, chest, bones, or other areas
  • Weakness or numbness in the legs or feet
  • Loss of bladder or bowel control
  • Weight loss
  • Problems urinating such as the urge
    to urinate more often or a slow or weak urinary stream, especially at night

APC testing

As part of a patient’s diagnosis, there are a variety of tests that may be given to better understand a patient’s treatment needs. Some tests may be repeated throughout your treatment to monitor how well they are working. Ask your doctor for regular updates to check your progress.

Gleason scoring

The Gleason scale is one of the most accurate ways of determining the aggressiveness of prostate cancer.

Pathologists will determine a patient’s Gleason score by examining tissue samples from a prostate biopsy and comparing the cancer tissue pattern with normal tissue.

Two numbers will be assigned; the first number indicates the most prominent area where the prostate cancer cells are and the second number shows the area where the cells are almost as prominent.

The total of these two numbers gives doctors the total Gleason score; usually a number between 2 and 10. The higher the score, the more likely the cancer is to spread.

What does my Gleason score mean?


Low Risk

Cancer is likely to grow and spread slowly


Medium Risk

Cancer is likely to grow but may not spread quickly


High Risk

Cancer is likely to grow and spread more quickly

Most cancers are grade 3 and above; grades 1 and 2 are not often used

Have A Voice

Your health matters, and so does your voice. Every month is an opportunity for you to connect with your treatment team. Ferring and FIRMAGON are here to help enhance that connection every step of the way.

Hear From a Real FIRMAGON Patient
I like the regularity of the monthly shot and the chance it gives me to build a relationship with my treatment team.
Actual physician quote
Make monthly visits matter by getting involved in your treatment plan.
Hear From a Real FIRMAGON Patient