Table 3. Risk assessment of PCa according to clinical and histological criteria, so called CAPRA (Cancer of the Prostate Risk Assessment) score (e8).
Variable | Range | Points |
PSA ng/mL | 2.0–6.0 | 0 |
6.1–10.0 | 1 | |
10.1–20.0 | 2 | |
20.1–30.0 | 3 | |
> 30 | 4 | |
Gleason score | 1–3 / 1–3 | 0 |
1–3 / 4–5 | 1 | |
4–5 / 1–5 | 3 | |
Category of primary tumor | cT1 / cT2 | 0 |
cT3a | 1 | |
Positive biopsies | <34 % | 0 |
≥ 34 % | 1 | |
Age | <50 years | 0 |
≥ 50 years | 1 |
The CAPRA score assigns points to the patient’s age, PSA value, Gleason score, local tumor spread (cT), and proportion of tumor mass in the biopsy specimen. In patients with a score of 0–2 points, active surveillance is possible; in those whose score is 3–4 points, local treatment with curative intent is indicated; and in those with a score of 5–6 points this curative measure is supported by adjuvant hormone therapy. 7–10 points require systemic androgen deprivation.