Have any of you used the web based Univ. of Montreal nomogram calculator? It's kinda like the MSK one. Here's why I ask sbout the U. Montreal one:
Here are my stats:
T2C; SM+; Gleason 3+4; PSA and age at surgery = 3.8 and 62; retropublic RALP surgery 2012; no follow up radiotherapy (yet); LN were dissected (no cancer there); comorbidity index = 0; about 1 yr BCR free (so far).
Using the calculators there, for my case:
probability of no local recurrence at 20 years: 93.8%
probability of no distant recurrence at 20 years: 84.8%
probability of being PSA recurrrence free at 20 years: 23.1%
So, I'm not likely to have a local or distant recurrence, but I'm very likely to have rising PSA? Can that be right? What am I missing?
It looks like if I get lucky and live into my ninety's, the beast will be back to visit. Had a grandmother died at 103, great aunt at 105, aunts are into their 80's. So this may not be a moot point. Not trying to make a big deal of this, just trying to understand this strange disease...
Jan '08-'11 PSAs 2.2 2.5 2.7 2.6, DREs-
Jan '12: PSA 3.6, DRE+
Jan '12: MRI inconclusive
Feb '12: PCaDx pT2a, 4/12+ (3 @ 3+3, 1 @ 4+3); 3% tot cores; bone scan-
Apr '12: RALP; 3+4=7; pT2c pN0 pMx; 30%; 2 focals+ on r; EPE-; PNI+; 8 LN-; SV-
PSAs @wks: 6/10/16 <.010; 24/32/40 <.006 52 < .05