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. 2017 May 1;17(6):1–75.

Table 1:

Common Prostate Cancer Risk Stratification Systems Based on Clinicopathologic Features

System Criteria
Low Risk Intermediate Risk High Risk
D'Amico / AUA All of:
  • PSA < 10 ng/mL, and

  • Gleason score ≤ 6, and

  • Clinical stage T1-T2a, and

  • Asymptomatic for metastases

All of:
  • PSA 10–20 ng/mL, and

  • Gleason score 7, and

  • Clinical stage T2b, and

  • Asymptomatic for metastases

One or more of:
  • PSA > 20 ng/mL

  • Gleason score ≥ 8

  • Clinical stage of T2c-3A

  • Symptomatic for metastases

NCCN All of:
  • PSA < 10 ng/mL, and

  • Gleason score 2–6, and

  • Clinical stage T1–T2a, and

All of:
  • PSA > 10–20 ng/mL, and

  • Gleason score 7, and

  • Clinical stage T2b or T2c, and

One or more of:
  • PSA > 20 ng/mL

  • Gleason score 8–10

  • Clinical stage T3a

  • Not very high risk

Very low risk
  • PSA < 10 ng/mL, and

  • Gleason score ≤ 6, and

  • Clinical stage T1c, and

  • Fewer than 3 positive biopsy cores and ≤ 50% cancer in each core

  • Not low risk

Very high risk
  • Clinical stage T3b-4

Abbreviations: AUA, American Urological Association; NCCN, National Comprehensive Cancer Network; PSA, prostate-specific antigen.

Source: Rodrigues et al, 2012.14