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Typically, metastases are first detected by scans. To be visible on a scan, metastases need to be at least a half-inch in diameter. Occasionally an enlarged lymph node may be felt manually in the groin area. Microscopic metastases are tiny tumors that are too small to detect with the best modern scans. The presence or absence of microscopic metastases can only be estimated based on factors related to the size and grade of the main tumor in the prostate. The likelihood of microscopic metastasis being present can be predicted with nomograms.