Proposed Prostate Cancer Staging System of Roach et al

Description

Roach et al proposed a new staging system for prostate cancer that is based on the T code, Gleason score, and serum PSA concentration. This better predicts clinical outcomes when compared to the current AJCC system. The authors are from the University of California in San Francisco, the University of Michigan, and the University of Texas San Antonio.

Parameters:

(1) T code

(2) Gleason score

(3) serum PSA concentration

T Code	Gleason Score	PSA in ng/mL	New Stage
T1 or T2	<= 6	< 10	I
T1 or T2	<= 6	10 - 19.9	IIA
T1 or T2	7	< 20	IIB
T1 or T2	<= 6	>= 20	IIIA
T1 or T2	8 - 10	< 20	IIIA
T1 or T2	>= 7	>= 20	IIIB
T3	NA	NA	IIIC

where:

• T3 disease includes invasion of seminal vesicles and/or bladder neck

• Tis, T4, N and M codes are unchanged.

Limitations:

• Some patients with prostate cancer do not have an elevation in serum PSA.

To read more or access our algorithms and calculators, please log in or register.

Proposed Prostate Cancer Staging System of Roach et al

Description

Specialty