Introduction to Advanced Prostate Cancer (Royal Stage) | Prostate Cancer Staging Guide

PCRI’s Executive Director, Mark Scholz, MD, gives an overview of the Royal stage of prostate cancer and its five subdivisions.

0:23 Unlike the other four stages of prostate cancer (Sky, Teal, Indigo, and Azure) which all have three subdivisions, Royal stage prostate cancer has five total subdivisions.

1:17 Royal stage prostate cancer is defined by one of two characteristics (or both): Either a man’s prostate cancer has become castration-resistant (that is, the cancer is no longer responding to hormone treatment) and/or metastatic disease has spread beyond the pelvic lymph nodes. Royal stage prostate cancer is a serious situation and requires aggressive management of the disease.

2:21 The Low-Royal stage is a situation where prostate cancer has developed a resistance to hormone treatment, but without any spread beyond the pelvic lymph nodes. It is usually discovered when a man’s PSA begins to rise while on hormone treatment.

3:13 Basic and High-Royal are both defined by situations in which there are metastases outside the pelvic region. Basic-Royal is when there are five or fewer metastases and High-Royal is when there are six or more metastases outside the pelvic region.

4:00 Basic and High-Royal are each sub-divided to include situations in which a man without prior treatment has metastases outside the pelvic region but is hormone-sensitive (the opposite of castration-resistant). This situation occurs when a man forgoes screening and the disease spreads undiscovered beyond the pelvic region. There is no category for hormone-sensitive Low-Royal since the category is defined only by castration resistance. In summary, there is Low-Royal, hormone-sensitive Basic-Royal, castration-resistant Basic-Royal, hormone-sensitive High-Royal, and castration-resistant High-Royal.

4:43 Royal stage prostate cancer is much less predictable than the cancers defined by the other four stages. Achieving remission is possible, but it is not a foregone conclusion as with other stages, and so monitoring the disease with scans and blood tests is very important.

Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org

To learn more about prostate cancer visit http://www.pcri.org

To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-s...

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 or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#ProstateCancer #Prostate #MarkScholzMD

Видео Introduction to Advanced Prostate Cancer (Royal Stage) | Prostate Cancer Staging Guide канала Prostate Cancer Research Institute