Clinical and pathological risk grouping defines management in localized prostate cancer. Recent work suggests men with high-risk prostate cancer can be further subdivided into three risk groups (favourable high-risk, standard high-risk and very-high-risk) and that these groups correlate with measures of genomic risk, testing of which is increasingly being integrated into risk prediction.
This is a preview of subscription content, access via your institution
Relevant articles
Open Access articles citing this article.
-
A comparative study of PCS and PAM50 prostate cancer classification schemes
Prostate Cancer and Prostatic Diseases Open Access 02 February 2021
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
D’Amico, A. V. et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA 280, 969–974 (1998).
Mohler, J. L. et al. Prostate cancer, version 2.2019, NCCN clinical practice guidelines in oncology. J. Natl Compr. Canc. Netw. 17, 479–505 (2019).
Sundi, D. et al. Outcomes of very high-risk prostate cancer after radical prostatectomy: validation study from 3 centers. Cancer 125, 391–397 (2019).
Sanda, M. G. et al. Clinically localized prostate cancer: AUA/ASTRO/SUO guideline. part I: risk stratification, shared decision making, and care options. J. Urol. 199, 683–690 (2018).
Muralidhar, V. et al. Definition and validation of “favorable high-risk prostate cancer”: implications for personalizing treatment of radiation-managed patients. Int. J. Radiat. Oncol. Biol. Phys. 93, 828–835 (2015).
Muralidhar, V. et al. Genomic validation of 3-tiered clinical subclassification of high-risk prostate cancer. Int. J. Radiat. Oncol. Biol. Phys. https://doi.org/10.1016/j.ijrobp.2019.06.2510 (2019).
Stephenson, A. J. et al. Postoperative nomogram predicting the 10-year probability of prostate cancer recurrence after radical prostatectomy. J. Clin. Oncol. 23, 7005–7012 (2005).
Cooperberg, M. R. et al. Combined value of validated clinical and genomic risk stratification tools for predicting prostate cancer mortality in a high-risk prostatectomy cohort. Eur. Urol. 67, 326–333 (2015).
Spratt, D. E. et al. Development and validation of a novel integrated clinical-genomic risk group classification for localized prostate cancer. J. Clin. Oncol. 36, 581–590 (2018).
Cooperberg, M. R. et al. The state of the science on prostate cancer biomarkers: the San Francisco consensus statement. Eur. Urol. https://doi.org/10.1016/j.eururo.2019.05.013 (2019).
Acknowledgements
J.S. is supported by The Frederick J. and Theresa Dow Wallace Fund of the New York Community Trust and a Physician Scientist Training Award from the Damon Runyon Cancer Research Foundation.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Related links
Decipher: https://decipherbio.com/
University of California San Francisco (UCSF)-Cancer of the Prostate Risk Assessment (CAPRA) score: https://urology.ucsf.edu/research/cancer/prostate-cancer-risk-assessment-and-the-ucsf-capra-score
Memorial Sloan Kettering Cancer Center’s prostate cancer nomograms: https://www.mskcc.org/nomograms/prostate/pre_op
Rights and permissions
About this article
Cite this article
Al Hussein Al Awamlh, B., Shoag, J.E. Genomics and risk stratification in high-risk prostate cancer. Nat Rev Urol 16, 641–642 (2019). https://doi.org/10.1038/s41585-019-0227-x
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41585-019-0227-x
This article is cited by
-
A comparative study of PCS and PAM50 prostate cancer classification schemes
Prostate Cancer and Prostatic Diseases (2021)