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This video tells you why bones are important
in advanced prostate cancer.
[sting and music sounds]
This video is the first of five short videos on bones and prostate cancer.
I'm not a doctor.
I'm just a man with locally advanced, recurrent, prostate cancer.
I ask the questions.
An expert medical oncologist answers the questions.
And when you occasionally hear this sound,
[swish],
our resident artist attempts to illustrate.
Meet the doctor.
My name is Alicia Morgans, and I'm the Assistant
Professor of Medicine at the Vanderbilt University
in Nashville, Tennessee, in the United States.
Doctor Morgans, where does prostate cancer start to grow?
Prostate cancer starts to grow in the prostate.
[swish].
Prostate cancer can move away from the prostate.
What do we call that?
When prostate cancer moves away from or out of
the prostate, we call that metastasising.
Is the cancer in these new places still prostate cancer?
When prostate cancer has spread outside the prostate and is growing somewhere else
we still think of it as prostate cancer, even if
it's growing in the bones, or a lymph node,
or a liver, or in the lungs, it's still prostate cancer cells.
When prostate cancer spreads, where does it prefer to go?
The most common place for prostate cancer to spread is the bones,
and up to ninety percent of men who have very advanced prostate cancer
have prostate cancer growing in the bones.
If prostate cancer grows in the bones is it still prostate cancer?
When prostate cancer is growing in the bones or in any other organ,
it is still prostate cancer cells, it just moved somewhere else.
How can we tell that there is prostate cancer in the bones?
We can tell that there's prostate cancer in the bones by using imaging techniques.
We commonly use bone scans.
We can use things like PET Scans as well, sometimes MRIs.
In the United States at least, the most common form of imaging that we use
to find prostate cancer in the bones is a bone scan.
How does a bone scan work?
Bone scans have a special die that travels into
the bones in areas where the bones are remodelling,
or remaking themselves.
Those areas are often areas where prostate cancer
is growing, and those areas then light up
when we use the imaging techniques to look at it.
When the radiologist is reading a bone scan, areas where prostate cancer is growing in
the bones
look black on the scans, with the background of the skeleton behind it,
so that the radiologist can see exactly which bones have areas of
prostate cancer growing in it.
Which particular bones does prostate cancer often attack first?
The bones that the prostate cancer often goes to first are the bones in the pelvis,
and then often the bones in the spine.
Where is the pelvis?
The pelvis is the area, if you put your hands on your hips,
it's the bones from there down to the bones where you sit.
>> JIM: Thank you.
Thank you.
This video is the first of five short videos on
bones and advanced prostate cancer.
Look for the other four videos which deal with
the special case of prostate cancer in the spine,
treatment for prostate cancer in the bones,
hormone therapy and bones,
and a special message on pain.
[sounds of a stream]
If you want to see more videos on advanced prostate cancer in the future,
click on subscribe.
If you like this video, please give it a thumbs up,
it helps.
Think anyone else might like this, share it by email, Facebook, Instagram, Twitter, whatever.
There are links to more resources in the description below.
Comments or suggestions are welcome below.
Thanks for watching.
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