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. 1999 Jan 30;318(7179):299–300. doi: 10.1136/bmj.318.7179.299

Table.

First choice of treatment of consultant urologists for clinical vignettes. Values are numbers (percentages) of consultants

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.