Step 3 – Newly Diagnosed (Find Your Risk Category)

Overwhelmed?
Take a break. Start researching again later. Remember that most prostate cancers are slow growing enough that you can take the time you really need to research for yourself. The research is a process, and your brain often needs a break. Put it down, and pick it up again later.

Every Prostate Cancer is DIFFERENT.

What’s Yours?

Use your

Gleason Score (use the highest one, if there is more than one Gleason)
Clinical Stage from DRE
PSA before biopsy

Also, are there any cancerous cores that are greater than 50% cancerous?

Now, use the info above ↑ to find your 3 different Risk Categories (below ↓).

D’Amico Risk Categories Are you? –

Low Risk
(If you are Low Risk, consider additional pathology testing with Oncotype DX, Prolaris, or Decipher )
Intermediate Risk
(If you are Intermediate Risk, ASK if you are a candidate for additional pathology testing
with Oncotype DX, Prolaris, or Decipher )
High Risk

CAPRA Score

Calculate your Score

NCCN Risk Categories (See Pages 7-11 of document – requires free registration)

Are you? –

Very Low Risk
Low Risk
Intermediate Risk
High Risk
Very High Risk

Risk of What?…

The D’Amico Risk Categories tell you your risk of PSA recurrence
5 years after surgery or radiation.

The NCCN Risk Categories tell you the same – your risk of PSA recurrence
5 years after surgery or radiation.

The CAPRA Score tell you something different –
your probability of Progression Free Survival (PFS) at 10 years.

– – – – – – – – – – – – –

PFS is the length of time a prostate cancer patient lives, but his cancer
doesn’t get worse or “progress”. _{(paraphrased from NCI)}

Step by Step – Newly Diagnosed

Questions?