Prostate Cancer Prediction Tools

THESE TOOLS SHOULD BE USED AS A STARTING POINT FOR A DISCUSSION WITH YOUR UROLOGIST AND ARE NOT A SUBSTITUTE FOR AN EXPERT OPINION (* see below).

Diagnosis PCPTRC Probability of cancer on biopsy
PreTreatment 

MSKCC Pre-surgery or radiation outcomes 

MSKCC Active surveillance risk assessment

UCSF-CAPRA Assessment of Risk

PostTreatment 

MSKCC Post Surgical prognosis

Estimate the benefit of radiation following radical prostatectomy for suspected local recurrence or persistent cancer

Palliative  Prognosis for hormone refractory prostate cancer

Memorial Sloan-Kettering Cancer Centre Prostate Cancer Nomograms

*This page contains a series of nomograms which can be used for prediction and to estimate prognosis for various aspects of prostate cancer. Clicking on the links will take you away to other websites. Read the disclaimers carefully before using these tools. There are some general but very important caveats that you should be aware of when you use these tools:

  1. Some imprecision is inherent in the estimates that are generated.
  2. The estimates are only as good as the information input. If the information used is unreliable or poorly reflects the true characteristics of the condition under evaluation, the results will be inaccurate. For example, normal non-cancer related fluctuation in PSA can be as high as 50% from year to year when for PSA's less that 5 mcg/L. In addition, sudden jumps in PSA are not always related to cancer.
  3. In some circumstances, the provided estimate may be highly inaccurate. Even the best of these tools will be inaccurate 1 in 5 times.

 

On the Web

General Prostate Cancer Web-Resources

Memorial Sloan-Kettering Cancer Center in New York is an excellent resource for information on prostate cancer. Balanced, unbiased discussions of the disease, including discussion regarding some of the controversies in prostate cancer.

General Information on Cancer

UNDERSTANDING CANCER - Metrovan Urology info on the principles of diagnosis, staging, prognosis and more.

American Cancer Society

BC Cancer Agency: Good general website from the British Columbia Cancer Agency. Has contact information on locations.

National Cancer Institute: Excellent source of understandable and mainly unbiased information. Several very good brochures on every stage of prostate cancer.

National Comprehensive Cancer Network: peer-reviewed expert content/prostate cancer guidance on evidence-based cancer diagnosis and management. Best for Prostate and Kidney Cancer. The most in-depth information is located in the physician section and requires registration.