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

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  • เผยแพร่เมื่อ 10 ก.ค. 2024
  • 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...
    *****
    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.
    ******
    CREDITS:
    Music: bensound.com
    Artwork/Photos: Creative Commons
    ******
    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

ความคิดเห็น • 64

  • @fnaffarwares1927
    @fnaffarwares1927 8 หลายเดือนก่อน +3

    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
      @rbk7876 7 หลายเดือนก่อน +1

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

  • @bakhtiarhafeez835
    @bakhtiarhafeez835 2 ปีที่แล้ว +2

    Such a great service to those afflicted. Thank you

  • @benjaminlabrecque7273
    @benjaminlabrecque7273 2 ปีที่แล้ว +5

    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
    @MM-sf3rl ปีที่แล้ว +2

    Best explanation of prostate cancer on TH-cam. Very helpful Doc:)

  • @Peter-rg4ng
    @Peter-rg4ng 2 ปีที่แล้ว +1

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

  • @kleyzmer
    @kleyzmer 2 ปีที่แล้ว +3

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

  • @wandapendergrass8575
    @wandapendergrass8575 2 ปีที่แล้ว +2

    Thank you for simplifying the information.

  • @michaelriordan6544
    @michaelriordan6544 ปีที่แล้ว

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

  • @dennismillman7368
    @dennismillman7368 2 ปีที่แล้ว +2

    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
      @robinmarks5638 2 ปีที่แล้ว +5

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

  • @richardgalmiche5
    @richardgalmiche5 2 ปีที่แล้ว

    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)

  • @user-ti1st3ry2n
    @user-ti1st3ry2n ปีที่แล้ว

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

  • @michaelrose9740
    @michaelrose9740 2 ปีที่แล้ว +2

    Thanks for the explanation.

  • @davidnle
    @davidnle 3 ปีที่แล้ว +4

    thank you Doctor...great video

  • @butchsirianni7253
    @butchsirianni7253 2 ปีที่แล้ว +3

    Incredible information thank you so much

  • @raziasultana5673
    @raziasultana5673 3 ปีที่แล้ว +9

    Thank you for your amazing , informative and helpful video .

    • @ChagparMD
      @ChagparMD  3 ปีที่แล้ว +3

      Glad it was helpful!

  • @markserio3599
    @markserio3599 3 ปีที่แล้ว +3

    You're awesome. Thank you.

  • @arebee6774
    @arebee6774 2 ปีที่แล้ว +6

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

  • @arunsujadaniel
    @arunsujadaniel 3 ปีที่แล้ว +4

    Thanks DrChapgar . Very informative.

    • @ChagparMD
      @ChagparMD  3 ปีที่แล้ว +4

      Thanks so much! Glad you enjoyed it!

    • @arunsujadaniel
      @arunsujadaniel 3 ปีที่แล้ว +3

      @@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.

  • @ccannonlaw
    @ccannonlaw 2 ปีที่แล้ว +1

    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.

  • @johnmercer1423
    @johnmercer1423 2 ปีที่แล้ว +2

    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.

  • @pandasdiary128
    @pandasdiary128 3 ปีที่แล้ว +2

    such a sweetheart ❤️🥺

  • @salmanahmed1955
    @salmanahmed1955 2 ปีที่แล้ว +3

    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
    @dhirendragarg2843 ปีที่แล้ว

    Very informative

  • @deangilkerson2498
    @deangilkerson2498 5 หลายเดือนก่อน

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

  • @captainoates7236
    @captainoates7236 2 ปีที่แล้ว

    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.

  • @cliffhall5928
    @cliffhall5928 ปีที่แล้ว

    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.

  • @brucehenry6506
    @brucehenry6506 2 ปีที่แล้ว +1

    I had a biospy for prastate canser allready.

  • @duposflies2621
    @duposflies2621 ปีที่แล้ว

    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!

  • @bowens9716
    @bowens9716 ปีที่แล้ว

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

  • @williamfeldner9356
    @williamfeldner9356 2 ปีที่แล้ว +1

    Such an excellent video!!!

  • @user-te8ht9dp7w
    @user-te8ht9dp7w 10 หลายเดือนก่อน +2

    😢my son died of prostate cancer at 56

    • @rbk7876
      @rbk7876 7 หลายเดือนก่อน

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

  • @frederickgarner6283
    @frederickgarner6283 9 หลายเดือนก่อน

    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

  • @pauldamore92
    @pauldamore92 ปีที่แล้ว

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

  • @geraldwalsh6489
    @geraldwalsh6489 10 หลายเดือนก่อน

    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
      @homestudiotutorials 9 หลายเดือนก่อน

      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
      @michaeledwards4169 4 หลายเดือนก่อน +1

      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
      @christined2495 19 วันที่ผ่านมา

      @@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
    @brucehenry6506 2 ปีที่แล้ว +5

    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
      @dennissanchez54 2 ปีที่แล้ว +2

      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
      @captainoates7236 2 ปีที่แล้ว +1

      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
      @lucasluc7341 2 ปีที่แล้ว +1

      may i ask what are your symptoms?

  • @pauldamore92
    @pauldamore92 ปีที่แล้ว

    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
    @inamhaq7534 ปีที่แล้ว +1

    My firsrs question is who engagaged you for me

  • @stratpac
    @stratpac ปีที่แล้ว +3

    Kill the music! it's not necessary.

  • @durv13
    @durv13 ปีที่แล้ว

    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
      @ricaurte271 11 หลายเดือนก่อน

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

    • @durv13
      @durv13 11 หลายเดือนก่อน

      @@ricaurte271 because theyre so booked out

  • @sueabbott6997
    @sueabbott6997 ปีที่แล้ว

    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
      @Kepss1222 ปีที่แล้ว

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

    • @sueabbott6997
      @sueabbott6997 ปีที่แล้ว

      @@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
      @Kepss1222 ปีที่แล้ว

      @@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.

  • @RealRocdad
    @RealRocdad ปีที่แล้ว +1

    Music sucks too hard to hear! Don't you know your audience! most people my age can't hear good!

  • @wendellrider1212
    @wendellrider1212 หลายเดือนก่อน

    ZZZZZZZZZZZZZZZZZ