The Importance of

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0:34 What are the different stages of prostate cancer?
2:26 What are the different staging systems?
4:25 Does staging affect treatment choices?
5:06 How common is it for patients to prioritize quality of life during treatment?
7:33 How well known are the stages among prostate cancer patients?
8:46 What is low/intermediate/high-risk prostate cancer?
12:37 Alex's conclusions
14:14 If you need more information
Don't know your stage? Take the quiz: visit www.prostatecancerstaging.org
To learn more about prostate cancer, visit www.pcri.org
Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: pcri.org/join
Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

Опубликовано:

6 ноя 2023

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Комментарии : 48

@robgerety 7 месяцев назад

Great video. Thank you. I am 72. I am recently diagnosed. I am 4+3=7. My tumor involves nearly the entire prostate gland according to MRI. My prostate is not particularly large. My PSA is 17. My PSMA PET scan shows no spread to bones or organs but the radiology report indicates likely spread to pelvic area lymph nodes. Also the genetic testing shows me as very high risk of spread. My father had prostate cancer. Am I stage 5? My treatment plan right now is for 6 months of hormone treatment and 8-10 weeks of daily radiation of the entire gland and the identified lymph nodes. This all makes sense to me and so after an initial second opinion on the pathology report following biopsy at Johns Hopkins that confirmed my local pathology report I'm satisfied this is a good treatment plan. I am fortunate to live near a quality regional cancer center with high ratings. This is scary stuff. I was comforted somewhat when the urological surgeon and the radiology oncologist agreed that radiology and lupron is the best way to go. I have watched nearly all your videos, some more than once, and they have been very helpful.

@andrewgynn4502 7 месяцев назад

What you have is what i had just the same was stage 3tb psa was 20.58 had the prostate out this was at 53 . move on till this year psa had got back to 0.52 did 6 months of hormone and four weeks radiation psa is now 0.03 and they say all being well thats it sorted out. so go with there plan i would also say i feel fit and well.

@kellyrippin7712 7 месяцев назад

Hi!!! Thank you so much for sharing!!! God Bless You!!! My husband is on the same boat with you. 9of 12, one 4+4, and the rest 4+3=7 and some lymph nodes. He is on Lupron and Xtandi for 3 months now. Side effects aches, pains and very low energy. The Oncologist Urologist doctor is pushing hard want to do Holep surgery prior radiation, 6 months recovery from Holep sugery before radiation. His prostate is 80, medical oncologist doctor said it will shrink with hormones therapy, none of his prostate cancer patients have Holep surgery and none of them have problems with urinnary after radiation. Radiation doctor said 9-10 weeks EBRT prostate + IMRT lymph nodes. No Space OAR or Barrigel , doctor claims that it will interfere with radiation for the prostate. Then he said it costs money. We are very unhappy by this statement from the doctor. We have been doing all the research about Holep, none of the doctor recommended the procedure with prostate cancer patients. Do you have any side effects from Lupron and XTandi? What do you for aches and pains topical cream or medicine that we should ask our doctor? Do you have any side effects from radiation? Can you please share the do and don’t? Did your radiology oncologist use Barrigel or SpaceOAR?

@andrewgynn4502 7 месяцев назад

I have no urinnary problems at all the radiation was very easy no spaceoar was used hormone i had no aches or pains but i was very tired with it just got on with it made my self move as much as i could .@@kellyrippin7712

@robgerety 7 месяцев назад

I have not yet started treatment. Expect to start in a week or so.@@kellyrippin7712

@MrGuitar1458 7 месяцев назад

Thanks as always for this great video. I was able to approach my potential pCa with an informed perspective thanks to the information I received on this channel. I was fortunate to be found (so far) cancer free, and I had an MRI first, then a trans-perineal biopsy based on those findings, which made the whole process easier to take, both physically and emotionally. I'm very grateful!

@user-ig6hj5mr8g 7 месяцев назад

Don’t know what we would do without these videos! You all are so informative and positive! Thank you so much.

@enzomac9139 7 месяцев назад

Thanks Alex & Dr S, this video is crown jewel for PCA treatment planning.

@steve122140 7 месяцев назад

Carry on with your educational perspective! I was diagnosed 5 years ago and had successful treatment. I thank your site for valuable insight. THANKS

@1958zed 7 месяцев назад

I love Dr. Scholz, PCRI, and these videos. They have been educational and extremely helpful in my journey with prostate cancer. Your color-coded staging system, however, brings anything but clarity to the discussion. It's confusing and adds yet one more layer of terms patients must come to terms with.

@ThePCRI 7 месяцев назад

Thank you for the feedback! This will help us simplify things in the future.

@DCGreenZone 7 месяцев назад

Just watched a radio ligand video from Clarity.... their phase 1 trial produced some interesting results. Who knew copper could be so useful.

@edwardbertorelli7358 7 месяцев назад

Amazingly detailed and relevant discussion thanks as always...and you are correct..these videos affected how I treated my prostate cancer....side effects were on my mind...thanks

@vanadams742 6 месяцев назад

You guys are great!!!!

@kentoskentos8428 Месяц назад

Big, big video. Thank you so much for all you do for us.

@kennethlemanski7399 7 месяцев назад

I am just starting this journey. I was diagnosed with a High Grade Prostate Cancer. PET Scan on Nov 21st.

@stitcheruk1150 7 месяцев назад

Hi. Also diagnosed High Grade in October with spread throughout bone skeleton. PSA310. Started with ADT Bicalutamide and Decapeptyl. What have you been prescribed so far? Please post for others and keep in touch. It all helps. Thanks

@rancancookcanoy9768 7 месяцев назад

Another great video. I really appreciate the work you are doing in this space. I just finished my radiation treatments and still doing hormone therapy. The staging colors and information was very helpful to me in making the decision on what treatment plan I was going to do. Thank You.

@saroyaskendriyaviharkharar4457 7 месяцев назад

Thanks for sharing this valuable vedio.I was diagnosed two years back .TURP done now under treatment with inj pamoerline and

@Ed6013z10 7 месяцев назад

Awesome video. I am scheduled for a MRI biopsy on the 21st. Trying to learn as much as I can and trying to stay positive. I find myself thinking dark thoughts about my future and videos like this gives me some hope. Thank you…

@edotero6331 7 месяцев назад

listen its normal. I got my first 3 years ago. It came back 3/4 gleason and cancer. The good new Dr said I will be under active surveliance. I had a second 2 biopsy 2 years ago and I learn ed here I need to demand a MRI target Biophsy like my first one. Dr said MRI wasnt very good so he did random and sure, he did not find cancer. I would have syopped and said, give me another MRI. I do PSA every 6 month and it has gone down. I have an MRI next Feb and may have another biopshy if needed. So you have those thoughts but Prostate cancer treatments are much better than they used too. Some want to take it out although cause they are too anxious and dont want to deal it in 20 years. Well I will be 83 in 20 years. Long life and maybe they find a cure for it before that. Remember we can wait because there are so many other neg effects when prostate is removed. I am 63 and diagnosed ay 59 and half. These video are great and allow me to question my Dr on my treatment. Find a good urologist and get second opinions like I did if you dont feel confortable with the Dr.. Good luck, hope this helps. We are all in this journey, but as Dr on this video says, wait untill you get your Gleason first then, tackle as needed.

@markturner3290 7 месяцев назад

Dear Dr Shultz and Alex. My name is Mark. I am 59 in Australia. I had a Psa done 3yrs ago it was 3.2 which did not qualify for an Mri and i was put on the waiting list. 6months ago. Psa was 7.2. Digi test, cancer. Biopsy i think 12 cores. Told I am a gleason 9 5-5. Had a PSMA. Said it hadnt escape the prostate yet but knocking on the inner wall of the shell. I have had 1 shot of Eligard and had a Turp done 3 weeks ago. 10wks to heal then start radiation. Sir is there still hope for me to live a few yrs with such a high gleason? Love to you all

@melandyosgoodthings3142 3 месяца назад

As always very helpful and hopeful info. I am looking forward to getting more information from the PCRI website. Thank you

@user-bq4xi9js9h 4 месяца назад

What a great medical information

@peterb2346 7 месяцев назад

This channel is such a GREAT resource. (We Happily made a small donation!) Upon your advice, I resent my Biopsy slides over to John Hopkins. They confirmed a 3+3=6 in 3 of the 12 zones w/ 5%-10% cancer found. The one sample from the lesion however does show 50% cancerous. And Decipher came back at .83 (High Risk). Should I still request a PSMA Scan?

@m.cunningham9817 7 месяцев назад

I was never told what stage. Diagnosed 4 years ago with PSA 18. Spread to pelvic and lymph. Got radiation everyday for a month. currently on Lupron and Xtandi. Was told got around 5-6 more years to live

@RH-xd3nx 7 месяцев назад

So sorry to hear that, I've prayed that you will live longer than their prognosis.

@stevenvalett1231 7 месяцев назад

Very little limited info and communication with my health care team concerning Prostate Cancer treatment.

@RH-xd3nx 7 месяцев назад

It's because they don't want you to leave, theres over 40 different treatment options. You're a cash cow, so they are tight-lipped....it happened to me

@lisayvette1lee 7 месяцев назад

Awesome video. My question, what are recommended treatment options for 3+3 Gleason 6, 59yr old?

@gerard2620 7 месяцев назад

Thank you from a recent subscriber !!! I just got my biopsy report yesterday: Gleason 4+4 in 3 cores, with a PSA of 2.1. The pathology report says stage 2a. I'm having a PMSA PET Scan in a week or so...I do have the BRCA2 gene mutation, so that sheds a different light on things, as to how the cancer may/may not behave......I'm not sure what other tests I may need (genomic testing?), as I'm very new to this.....Perhaps Dr. Scholz can offer thoughts ?? Thanks again !!

@elawton2 5 месяцев назад

My gleason is 3+3=6. Have had three MRI's (Two prior to my first biopsy with a different doctor)) Have prosieben genetic test indicating I have a 3.7 percent chance of dying in the next 10 years. Two cores out of twelve showed 5% cancer. PSA is 8 something. I'm 63 and the doctor wants to do another biopsy which I agreed to. If I had stuck with my first urologist I doubt a biopsy would have been ordered. What a mess, I'm so confused. My Dad had prostate cancer and surgery in his mid fifties, he lived to be 3 months shy of 94 years old and died May of 2023. He told me he would never have had it removed surgically as the cancer came back and he began taking hormone treatments every couple of years which would bring his PSA down from over 25 to almost zero. He was taking oral chemo pills his last years which really messed up his system. A lot has changed an this is a great RU-vid channel! Thanks so much for the information!!!

@zaheeruddinjaveed8694 5 месяцев назад

I am 60 years old. My PSA is 21.8 now has doubled in the last 2 years. PSMA PET scan has revealed a start of tracer uptake. I don't want to undergo any invasive procedure like biopsy etc. What course of treatment options do I have. Thanks.

@ronll9590 7 месяцев назад

11:27 Another very informative video. Thanks! I’m not sure this is the proper place to ask this, but this is my first comment. I have Gleason 4+3, and have completed six weeks of proton therapy a month ago. I’m also on Lupron since April. I was never told about psmaPET scans but I had other scans of some type including a bone scan (negative). So my question is, would a psmaPET scan be useful now post treatment? Might it help me discontinue Lupron sooner if it shows no remaining cancer? Thanks.

@77Cfriend 6 месяцев назад

Can they treat the cancer and bore-out the blockage at the same time? and does the fact that I had a catheter put in affect my PSA? it was 62 during retention then 37 then 26

@gordonames1892 7 месяцев назад

HAD A PSA TEST OF 7.3. HAD A BIOPSY SHOWED SOME CANCER. I'M ON A WAIT SND SEE PROGRAM. TRIED A PROGRAM NOT APROVED BY THE AMA. USING STUFF IN MY FOOD PANTRY, GOT MY PSA LEVEL AT 3.94!! PSA OF 4 IS NORMAL.

@gordonames1892 7 месяцев назад

I'M 71 YEARS OLD.

@mikeoniones667 7 месяцев назад

I'm advance metistatic W Gleason score of 9 i am on Darolutamide going on 5 yrs.

@stitcheruk1150 7 месяцев назад

Hi. Have you also had Chemotherapy along with the Darolutamide? Is your diagnosis stable ? I’ve recently been advised a Gleason score of 9:with metastatic spread throughout the skeleton. Have started with ADT treatment with a suggestion of Darolutamide to follow.

@billdevine7792 3 месяца назад

I am at stage 2 and Gleason 4+3. I haven't been able to get my Pet PMAS for six weeks. I was diagnosed 5 days after Thanksgiving 2023 and was wondering if stage 2 is and Gleason is there a good chance of moving to other parts of the body?

@gvet47 7 месяцев назад

How come when I was tokd in January that I have prostate cancer that is also in my lymph nodes. I have ver been told anything about this cancer. Why???? Told to get my affairs in order???? 10 months and still no more information. So like when am I going to die? I'm 76

@WallaceDunn 7 месяцев назад

What Gleason 3+3 but Decipher and MRI are both High Risk? I’m thinking I’m not a candidate for active surveillance.

@grahammclean7842 Месяц назад

I have a 3+3 with a psa of 12.7 and absence of tumour infiltration in the right lobe. Can anyone tell me if this is considered stage 1 or 2?

@ThePCRI Месяц назад

Hello, we are not able to answer case questions on our comment section but we can help you through our Helpline who can speak with you either by phone or email. Here is the link to contact them: pcri.org/helpline

@gvet47 7 месяцев назад

I was told my PSA was 5000 so is that even possible?