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Genomics and risk stratification in high-risk prostate cancer

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.

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Fig. 1: The heterogeneity of high-risk prostate cancer.

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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.

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Correspondence to Jonathan E. Shoag.

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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

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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

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