Table.
Case No | Presenting characteristics* | No of consultants responding | Radical prostatectomy | Radical radiotherapy | Brachytherapy | Hormone (medical) | Hormone (surgical) | Surveillance only | Surveillance and hormone |
---|---|---|---|---|---|---|---|---|---|
1 | Age 55, incidental, prostate specific antigen 7 ng/ml, transrectal ultrasound and magnetic resonance imaging results suggest localised tumour, Gleason score 3 | 211 | 136 (64) | 49 (23) | 1 (0.5) | 3 (1) | 0 | 16 (8) | 6 (3) |
2 | Age 62, bladder outlet obstruction, prostate specific antigen 15 ng/ml, Gleason score 5 from chippings | 202 | 80 (40) | 82 (41) | 0 | 7 (3) | 3 (1) | 10 (5) | 20 (10) |
3 | Age 69, incidental, prostate specific antigen 16 ng/ml, transrectal ultrasound and magnetic resonance imaging results suggest localised tumour, Gleason score 3 | 206 | 50 (24) | 85 (41) | 2 (1) | 13 (6) | 0 | 27 (13) | 29 (14) |
4 | Age 75, incidental, prostate specific antigen 20 ng/ml, transrectal ultrasound and magnetic resonance imaging results suggest localised tumour, Gleason score 3 | 218 | 0 | 51 (23) | 0 | 22 (10) | 1 (0.5) | 52 (24) | 92 (42) |
5 | Age 58, poorly differentiated localised tumour, prostate specific antigen 17 ng/ml, Gleason score 8 | 202 | 67 (33) | 102 (50) | 2 (1) | 23 (11) | 1 (0.5) | 1 (0.5) | 6 (3) |
Normal values of prostate specific antigen are around 4 ng/ml. In Gleason grading system sections of tumour are graded from 1 (least aggressive) to 5 (most aggressive). The two highest grades from each tumour are added to give a score ranging from 2-10. Scores of 7 and above indicate worse prognosis than lower scores.