PROSTATE CANCER: What's my prognosis? | Grade, Stage, PSA, Gleason score and novel genomic assays

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Prostate cancer is the most common cancer affecting men, and it can be a bit confusing when it comes to figuring out your prognosis in terms of grade, stage, PSA, Gleason score and novel genomic assays like Oncotype Dx, Prolaris and Decipher. But this information may be important in deciding with your doctor what treatment is right for you. We break down all of these terms in this video!
Evidence-based links:
ASCO answers guide: www.cancer.net/sites/cancer.n...
NCCN guidelines for patients: www.nccn.org/patients/guideli...
Review on novel genomic tests: www.ncbi.nlm.nih.gov/pmc/arti...
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I hope you found this video helpful. Please let me know what you thought and what other content you want to see. Please do LIKE, SHARE, and SUBSCRIBE. Leave me a comment in the box below. Our goal is to make this channel a community where you can find trusted, evidence-based, scientifically-backed, high quality information to improve your overall health and wellness.
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CREDITS:
Music: bensound.com
Artwork/Photos: Creative Commons
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My bio: medicine.yale.edu/profile/ane...
"An Introduction to Breast Cancer": www.coursera.org/learn/breast...
Yale Cancer Answers: www.yalecancercenter.org/pati...
Email: chagparmd@gmail.com

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30 июн 2024

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Комментарии : 64

@fnaffarwares1927 7 месяцев назад

My PSA is 3.58, my Glasgow score 3+3=6 I’m 51 years old.. family nurse practitioner Your explanation was very clear and precise

@rbk7876 6 месяцев назад

keep the faith, PSA's are very confusing, there are men with 10 psa that are negative, eat healthly B strong. 🙏

@bakhtiarhafeez835 2 года назад

Such a great service to those afflicted. Thank you

@Peter-rg4ng 2 года назад

Best video I have seen on prostrate cancer. Clarified for a person without a medical background.

@benjaminlabrecque7273 2 года назад

I very much appreciate the video. Based on my family history this is a disease that I need to learn about as early as possible. Thank you.

@MM-sf3rl Год назад

Best explanation of prostate cancer on RU-vid. Very helpful Doc:)

@kleyzmer 2 года назад

excellent and very informative, one of the best videos on the topic of prostate cancer. Thank you very much.

@wandapendergrass8575 2 года назад

Thank you for simplifying the information.

@michaelriordan6544 Год назад

Thank you, Doctor...this is so clearly presented and informative.

@richardgalmiche5 2 года назад

It hasard been à long time without your smile ;-) thank you very much for this video. I wish you à happy New year ( and for your family, of course)

@raziasultana5673 3 года назад

Thank you for your amazing , informative and helpful video .

@ChagparMD 3 года назад

Glad it was helpful!

@user-ti1st3ry2n Год назад

perfect information I have had so far .thank you sooo much doctor

@dennismillman7368 2 года назад

thank you while researching while waiting for my biopsy results i found this ot be the easiest to understand, the most informative and gave me the tools to ask the correct questions to my doctor. psa is 32,Gleason score of 8 - going for MRI and CT scan within the week

@robinmarks5638 2 года назад

We were just told today my husbands PSA was 27+ ! I hope you and my husband can come through this ok!!!

@davidnle 3 года назад

thank you Doctor...great video

@butchsirianni7253 2 года назад

Incredible information thank you so much

@arebee6774 2 года назад

Thanks for an easy to understand explanation. Yo did a great service by providing the most valuable information regarding prostate cancer. Great job.

@michaelrose9740 2 года назад

Thanks for the explanation.

@markserio3599 3 года назад

You're awesome. Thank you.

@johnmercer1423 2 года назад

Thanks you for the way explain the maze of language and varying degrees of prostate cancer ,I think I have a bit more understanding about my cancer after watching your video ,even though I have seen many videos of prostate cancer yours explained brilliantly.

@ccannonlaw 2 года назад

Thank you for a very enlightening video. I just received the pathology report following a T.U.R.P. and now have an understanding of what it means and am better prepared to discuss with my urologist what comes next.

@arunsujadaniel 3 года назад

Thanks DrChapgar . Very informative.

@ChagparMD 3 года назад

Thanks so much! Glad you enjoyed it!

@arunsujadaniel 3 года назад

@@ChagparMD Dear Dr Chapgar are there any additional preventive measures which are beneficial to men over 50 yrs of age in addition to healthy diet, regular exercise, no Tobacco use and maintaining ideal weight for primary prevention of prostate cancer? Thanks.

@pandasdiary128 3 года назад

such a sweetheart ❤️🥺

@captainoates7236 2 года назад

Thanks for the great video. It's been agony waiting for the results of my scans. I just want info right now. Hard to come by.

@salmanahmed1955 2 года назад

Excellent piece of info on prostate Cancer. Only query I raise that when cancer is categories T1c N0M0 why PSA level showing more than 20(that shows advance level) Greason score is 4+4=8/10 Is it advanced cancer by the definition? Thanks

@dhirendragarg2843 Год назад

Very informative

@deangilkerson2498 4 месяца назад

Make sure that if you have it, that your sons have PSA tests earlier than usual. Mine are starting at age 40

@bowens9716 Год назад

Im 78 yo with stage 4-5 aggressive cancer. This was a very informative video. Thank you.

@williamfeldner9356 2 года назад

Such an excellent video!!!

@duposflies2621 Год назад

Thank you Doc for the good explaination. I live in Sweden and tomorrow is the time I will get the answere if I have pc.😢 I havn't diagnosed it but the feeling is already killing me. At the beggining my psa is 3.8 and I am 62 yr old this yr. According to my mri they found 2 tumor in my prostate and one abnormal in my bone. My big question is that if I have pc did spread already in my bone how come? I have only have 3.8 psa? Maybe those question will be answere by my urologist tomorrow. Its like feel I have this shit in my system because my dad died from it one causin and one survived. Once again thank you!

@brucehenry6506 2 года назад

I had a biospy for prastate canser allready.

@cliffhall5928 Год назад

Hi can you help exsplane, I had two psa tests 4.6 then 3.6 but a mri score of 4 Waiting for a biopsie but I would like to understand what these scores mean.

@frederickgarner6283 9 месяцев назад

I very much appreciate this video. i was just recently diagnosed with prostate cancer . My doctor recommends treatment but after watching this I'm not sure; I"M a 3+4=7 T2a . I would like a second opinion feeling real stressed don't want to undermine my doctor but I just don't KNOW . Is it possible for you to help me understand why he would recommend treatment based on my partin table I'm only 51

@user-te8ht9dp7w 10 месяцев назад

😢my son died of prostate cancer at 56

@rbk7876 6 месяцев назад

My heartfelt prayers to you, Blessed are those who mourn, for they shall be comforted. 🕊🙏

@pauldamore92 Год назад

And what about that procedure where they implant radioactive seeds directly in the tumor???

@geraldwalsh6489 9 месяцев назад

I have/had gleason 3+4 here in Cork, Ireland. Have done the radiotherapy and now on monthly ADT for two years. Side ceffects are horrendous particularly the sore abdomen after the monthly injection. I have had 8 jabs.....would it be risky to stop the jabs? Prior to treatment,psa was 32,now its .0045.....so cancer is gone,right?

@homestudiotutorials 9 месяцев назад

Hi , I had the monthly injection, terrible!! Try the one you get every six months! Same thing with no pain at the injection site !

@michaeledwards4169 3 месяца назад

PSA 438, Gleason 4+5, Mets to 3 pelvic lymph nodes and one place on spine I have not lost hope received radiation & ADT I did not know anything was wrong until my spine started to hurt I have not lost hope

@christined2495 9 дней назад

@@michaeledwards4169my husband has same score as you, being treated with hormones and followed by radiation, he got his first hormone shot two days ago, they found three pelvic lymph nodes with pet scan, but no where else in the body… How are you holding up, I wish you well

@brucehenry6506 2 года назад

I got prastate Canser I just got it a couple of months ago I’m having sergery soon. Don’t no whenever my sergery is find out after my mri I find out soon whenever my sergery is ok youtube.

@dennissanchez54 2 года назад

I feel for you bruce , i dnt have prostate cancer but i have bad urinary health its terrible and so depressing but im still hope to get well soon and i wish for you as well...

@captainoates7236 2 года назад

All the best of luck with your treatment Bruce. I'm still waiting for my results but looks quite bad so far so expecting surgery too.

@lucasluc7341 2 года назад

may i ask what are your symptoms?

@pauldamore92 Год назад

Does a patient have the right to ask for general anesthesia for a prostate biopsy? I’ve researched this procedure many times and found out when a doctor says “you may feel some discomfort “ it usually means it’s gonna be quite painful and for people with severe anxiety problems like me nobody’s gonna stick a 13 gauge needle into my rectum then into my prostate and stick u 13 times to get various samples of prostate tissue. I’ll jump off the table. I don’t care what the insurance company says. It’s my body. I would need general anesthesia and it can be done with a local or general. I can deal with the side effects after but not that kind of pain. Numbing the area with lidocaine does nothing. Urologist use that for cystoscopy too and that’s still very uncomfortable. Any thoughts doctor??

@inamhaq7534 Год назад

My firsrs question is who engagaged you for me

@durv13 Год назад

my psa is 18 , and i have to wait 3 months to see the cancer doctor . if over 10 gives you 50/50 chance , im assuming 18 would be around 80 percent chance you have cancer ? not that im worried , i already have heart disease and only 23 heart left and a defibrillator . so its not like it matters much lol .

@ricaurte271 11 месяцев назад

But why you had to wait 3 months to see the doctor

@durv13 11 месяцев назад

@@ricaurte271 because theyre so booked out

@sueabbott6997 Год назад

My husband had a psi blood test it was 171.0. He is going for a biopsy soon. What are his chances of it being cancer

@Kepss1222 Год назад

How is your husband now? Was it cancer? Hopefully it wasn't ❤️❤️❤️

@sueabbott6997 Год назад

@@Kepss1222 sorry to say it was prostate cancer stage 3 A. Then he was diagnosed with stage 4 renal cell carcinoma that had spread from his kidney to the right lung and later to his liver. Was on different treatments. He passed away on May 25 2023. He retired from his job on May 25 2018.

@Kepss1222 Год назад

@@sueabbott6997 I'm so sorry to hear that. 😔❤️❤️ My father's PSA numbers nearly tripled in 2 months so we're very concerned. He went from 5.3 to 14.9 He is going to have a Biopsy soon, so we're hoping for good news.