Insta keto If there is cancer in the gland, the stage is N1.Cancer has spread to bones or other organs (M1) or not (M0). Doctors can also use subsets such as M1a for lymph nodes or M1b for bone, or M1C for other areas.Doctors combine T, N, and M results with Gleason (grade) scores and PSA levels in a process called grouping stage. The whole stage is expressed in Roman numerals from I (the lightest stage) to IV (the heaviest stage). Doctors use staging to help determine the best treatment for you. http://jbspends.com/insta-keto/