Is There a Way to Determine If My Prostate Cancer Is Curable?

How Can I Tell If My Prostate Cancer Is Curable?

Prostate Cancer Is CurableProstate Cancer is the second most common cancer among American men. Unfortunately, about 1 in 7 men will be diagnosed with prostate cancer in his lifetime. Some urologists even suggest that in the year 2015, this statistic has risen to 1 in 2 men! With a high probably of men developing this cancer, Dr. David Albala shared with us the answer to the question many have worried about, “How curable is prostate cancer?”

Dr. Albala shares that there are two critical factors in determining whether prostate cancer is curable. The first factor, is finding out the grade of this disease. The grade refers to the aggressiveness of the tumor, which the urologists grade on a scale from 1 to 5.

Find out more about how you can tell if your prostate cancer is curable by watching the video below.

Transcript

David Albala:  One of the most important factors in treating patients with prostate cancer is detecting the disease as an early stage.  There are two critical factors to determine whether prostate cancer is curable.  One needs to know the grade of the disease and the stage of the disease.  The grade of the disease refers to the aggressiveness of the tumor and essentially urologist and pathologist look under the microscope and based on what the cells like grade those cells on a scale from 1 to 5.  Now, as physicians, we are look in two separate areas where the tumor is and we graded on a scale from 1 to 5, so we may see an area that has cells that look moderately aggressive in one area and in the secondary area, those patients have what we call a Gleason 3+3.  We add those numbers together and we get 6 and the Gleason score is 6 in that individual, so the Gleason score is a grading system that ranges from 2 to 10.  The higher the number, the more aggressive the tumor, so it’s rare to see individuals that have a Gleason score of 2 or 3 and again it’s rare to see an individual that has a Gleason 9 or 10.  6 and 7 are the most common Gleason scores that we see in the United States.  The stage refers to where prostate cancer spreads.  We know from number of studies that have been published that prostate cancer tends to spread to the lymph nodes in the groin and the bones in the body and in the old days many-many years ago, we used to do bone scans and CT scans on all individuals that have prostate cancer.  Now, those individuals that have a Gleason 6 or a Gleason 7 disease, a bone scan and a CT scan are not part of the routine workup in these individuals.  It is a common to see men that have really aggressive tumors, not really.  I think from the prostate screening studies and the awareness that men have today, the development of metastatic prostate cancer can occur, but it occurs extremely rarely.  It is very uncommon to see an individual come into an office or a clinic today in 2015 riddled with metastatic prostate cancer into their bones and into the lymph nodes in the body.  It can happen, but it’s extremely rare.


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