Defination of high risk PC

Gee, I had 4 of those factors at my time of treatment.

I, too, am high risk and my urologist, rad-onc, and med-onc all separately explained it to me and what we needed to do.   They did not need to scare me, only cover things with great clarity.

My brother's brother-in-law, however, related to me that his urologist downplayed the risk as his PSA was low, but he was G9.   In the last 8 years he has had the prostate removed, SRT, two rounds of ADT and still has rising PSA.   He is just now coming to realize what being high risk is all about.   It took him awhile to get over the shock that surgery failed as he had been told it went well and there would be nothing to ever worry about.

count me in. What Me Worry

I'm 4 out of 5. (I never got a tertiary score so I might even have a flush) Do I get extra credit for having PSA above 20 and having my velocity be 2.0/ month?
There wasn't much argument about whether or not I was high risk.
Jeff

I can remember sitting around the campfire as kids in our late teens and early 20's, half in the bag, bragging and lying to each other...One guy said he read someplace we all could expect to live to be 65....We all laughed..We will be lucky to make it to 40 somebody said, the way we live.. Half my high school class is already gone...

So at 68, every day I can get out of bed and make my own coffee is a BONUS day, happy to have it and I try to make good use out of it..I can't do much about my PSA number anymore, it's a wait and see game now, so why spend what's left of your life worrying about it??

I can't seem to win anything good.
T3b, 3+5=7 with tertiary 5.
However, I believe once your PSA rises after surgery that high, medium, low risk is a mute point.
Meeting with the radiation oncologist April 5 for that next step discussion.

Post Edited (STW) : 3/24/2011 11:43:46 AM (GMT-6)

The D’Amico Risk Classification is perhaps the most widely used tool among urologists/surgeons in predicting (clinically, before treatment) the risk of recurrence after primary treatment.   Other nomograms or other online predictive tools are sometimes referenced to patients, but many urologists quote the D’Amico Risk Classification to patients off the top of their heads.     Dr Anthony D’Amico is Chair of the Division of Genitourinary Radiation Oncology at Dana-Farber Cancer Center (Brigham & Women’s Hospital), and professor of Radiation Oncology at Harvard Medical School, and is an internationally recognized expert in prostate cancer treatment.   The D’Amico Risk Classification has been recently validated by Drs. Han and Partin at Johns Hopkins, and more recently by Mayo Clinic.     Below is the overall risk stratification of this system:    LINK Low risk: PSA < 10ng/ml and Gleason < 6 and The percentage of involved cores is < 50% or Intermediate risk with only 1 positive core Intermediate risk: Gleason score of 7 or PSA of 10-20 Low risk with > 50% of positive cores or High risk and only 1 positive core High risk: Gleason > 8 or PSA > 20 and more than 1 positive core Or intermediate risk and more than 50% positive cores When there is a conflict in the Gleason score and PSA risk group, the worse factor wins and determines the risk category assignment. For example, a patient with a low Gleason Score of 6 combined with a PSA of 25 ng/ml is considered high risk. The exception to this would be, say, if there is only one positive core out of all of the ones sampled, in which case the risk category goes down to intermediate risk.