Localised | Locally advanced | ||
---|---|---|---|
Low risk | Intermediate risk | High risk | High risk |
PSA < 10 ng/mL and GS < 7 (ISUP grade group 1) and cT1‐2a | PSA 10–20 ng/mL or GS 7 (ISUP grade group 2/3) or cT2b | PSA > 20 ng/mL or GS > 7 (ISUP grade group 4/5) or cT2c | Any PSA, any GS (any ISUP grade group) cT3‐4 or cN+ |
cN + = lymph node positive; cT1‐2a = cancer present but not detectable on digital rectal examination (DRE) or imaging, or is palpable on DRE but is organ‐confined to half or less than half of one lobe of the prostate; cT2b = tumour‐confined to more than one half of one gland of prostate but not both; cT2c = tumour is in both lobes of the prostate but within the prostate capsule; cT3‐4 = locally extensive cancer that penetrates the prostate capsule, or invades into the seminal vesicle, or invades into the bladder neck/rectum/external urinary sphincter; GS = Gleason score; ISUP = International Society for Urological Pathology; PSA = prostate‐specific antigen.