Sunnybrook Hospital - pre-surgery PCa nomogram -

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tatt2man
Veteran Member


Date Joined Jan 2010
Total Posts : 2840
   Posted 11/9/2010 4:52 PM (GMT -6)   
it is an interesting pre-surgery nomogram which calculates the (possible) relationship of high and low grade cancer
- an interesting approach to calculating and interpreting initial findings - and help guide what method of treatment might be best ...

(do keep in mind these are just numbers - and not people - we all react to PCa differently)
- would be interesting to see how close the nomogram results are for those already post-surgery or post-treatment)

sunnybrook.ca/content/?page=Focus_OCC_Care_GenUri_PRisk_Home

and for those who don't know what their IPSS is - here is a link for you
www.usrf.org/questionnaires/AUA_SymptomScore.html

Post Edited (tatt2man) : 11/9/2010 3:57:40 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 11/9/2010 5:00 PM (GMT -6)   
Bronson,

That nomogram was a hoot in my case, lol. Entered it all correctly, pre-surgery, and it said I only had a 10.3% probability
of having a Gleason 7 cancer. Hate to tell them, but I was 100%. Never saw a nomogram that would have given me odds
that good with a pre-surgery PSA of 16.

Wonder how accurate it is for others here.

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3632
   Posted 11/9/2010 5:27 PM (GMT -6)   
It was right on the money for me..I had a 70% chance of having PC and a 45% chance it would be high-grade..
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
age 61: 5.2
age 64: 7.5, DRE "Abnormal"
age 65: 8.5, " normal", biopsy, 12 core, negative...
age 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
age 67 4.5 DRE "normal"
age 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9
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