Royal is defined as the presence of metastases located outside the pelvic lymph nodes or the development of resistance to one of the Lupron-like drugs. Royal is the most life-threatening of all the Stages and requires aggressive treatment. The overarching goal is to…

Many treatments have irreversible consequences, so the goal is to do it right the first time. It is well known that long-term survival is improved by receiving optimal treatment upfront. The first treatment is your best opportunity to eradicate cancer

Lymph nodes and bone are the most common sites of metastatic spread. Body scans are necessary to determine the extent of the cancer. CT scans and bone scans are used to detect lymph node and bone metastases respectively…

Once the proper Stage of Blue is assigned, the different treatments appropriate for that Stage can be considered. Overall, there are two broad categories of treatment available for Royal: Systemic treatments and combination therapy.