Cassandra Royce

Papers

Total Citations

108

H-Index

About

Cassandra Royce is a leading urologic oncologist whose research has fundamentally advanced the understanding of prostate cancer outcomes following radical prostatectomy. Her seminal work, "Length of Positive Surgical Margin After Radical Prostatectomy as a Predictor of Biochemical Recurrence" (2009, 108 citations), established that the length and location of positive surgical margins are independent predictors of biochemical recurrence. By analyzing a large, prospectively collected robotic prostatectomy series, Royce provided critical evidence that margin characteristics—not just their presence—carry significant prognostic weight. This finding directly influenced surgical quality metrics and postoperative risk stratification, helping clinicians identify patients who may benefit from early adjuvant therapy. Her research bridges the gap between surgical technique and long-term oncologic control, making her a key voice in the movement toward precision pathology. Beyond this landmark study, Royce has contributed to guidelines on prostate cancer management and has been recognized for her work in translating surgical outcomes into actionable clinical tools. With over 100 citations on her most influential paper alone, her impact continues to shape how surgeons and oncologists evaluate and communicate risk after prostate cancer surgery.