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Plug in your PSA, Gleason, and Stage and find out the risk that there is prostate cancer in the lymph nodes or broken through the capsule.

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Partin Tables 1997

Reference: Partin AW, Kattan MW, Subong EN, et al. Combination of prostate-specific antigen, clinical stage, and gleason score to predict pathologic stage of localized prostate cancer. A multi-institutional update. JAMA 1997; 277:1445-1451.

Instructions

These tables assume that you have no evidence on x-rays or physical exam of any cancer spread to your bones, lymph nodes, or seminal vesicles. Look under one of the following four tables which corresponds to your initial PSA value. The numbers at the intersection of the Gleason score and the clinical stage are the percentage probabilities that your cancer is:

  • OC - Organ confined
  • CP - Capsular penetration
  • SV - Seminal vesicle involvement
  • LN - Lymph node involvement.

If you do not know your PSA, Gleason score, or stage ask your physician. Further explanations are located at the end of this page. Use the most recent PSA value you had had prior to starting any treatment or hormonal therapy. Use the highest gleason score (out of 10) you have had on your most recent pathology report. The staging system used in these tables is the 1992 AJCC staging system, which differs slightly from the currently used staging system.

Choose Your PSA Value

 

PSA 0.0 - 4.0

Gleason

 Clinical Stage
T1a T1b T1c T2a T2b T2c T3a
2-4 OC
CP
SV
LN		 90
9
0
0		 80
19
1
0		 89
10
1
0		 81
18
1
0		 72
25
2
0		 77
21
2
0		 ...
...
...
...
5 OC
CP
SV
LN		 82
17
1
0		 66
32
2
1		 81
18
1
0		 68
30
2
0		 57
40
3
1		 62
34
3
1		 40
51
7
2
6 OC
CP
SV
LN		 78
19
1
1		 61
35
2
2		 78
21
1
0		 64
34
2
1		 52
43
3
2		 57
37
4
2		 35
53
7
5
7 OC
CP
SV
LN		 ...
...
...
...		 43
44
6
6		 63
31
4
1		 47
45
6
2		 34
51
10
5		 38
45
12
5		 19
52
19
9
8-10 OC
CP
SV
LN		 ...
...
...
...		 31
43
11
14		 52
34
9
4		 36
47
12
5		 24
48
17
10		 27
42
21
10		 ...
...
...
...

 

PSA 4.1 - 10.0

Gleason

 Clinical Stage
T1a T1b T1c T2a T2b T2c T3a
2-4 OC
CP
SV
LN		 84
14
1
0		 70
27
2
1		 83
15
1
0		 71
26
2
0		 61
35
4
1		 66
29
5
1		 43
44
10
1
5 OC
CP
SV
LN		 72
25
2
1		 53
42
3
2		 71
27
2
0		 55
41
3
1		 43
50
5
2		 49
43
6
2		 27
57
12
3
6 OC
CP
SV
LN		 67
27
2
3		 47
44
3
5		 67
30
2
1		 51
44
3
2		 38
52
5
4		 43
46
6
4		 23
57
11
9
7 OC
CP
SV
LN		 49
36
6
8		 29
48
9
12		 49
40
8
3		 33
52
10
4		 22
54
15
9		 25
48
18
9		 11
48
26
15
8-10 OC
CP
SV
LN		 35
34
10
18		 18
42
15
23		 37
40
15
8		 23
49
19
9		 14
46
24
16		 15
40
28
17		 6
34
35
24

 

PSA 10.1 - 20.0

Gleason

 Clinical Stage
T1a T1b T1c T2a T2b T2c T3a
2-4 OC
CP
SV
LN		 76
20
2
0		 58
36
4
2		 75
22
2
0		 60
35
4
1		 48
43
7
1		 53
37
8
1		 ...
...
...
...
5 OC
CP
SV
LN		 61
33
3
3		 40
50
5
5		 60
35
3
1		 43
50
5
2		 32
57
8
4		 36
51
9
4		 18
59
15
17
6 OC
CP
SV
LN		 ...
...
...
...		 33
49
4
13		 55
38
4
3		 38
52
5
4		 26
57
7
10		 31
50
9
10		 14
54
14
18
7 OC
CP
SV
LN		 33
38
8
18		 17
46
11
24		 35
45
12
8		 22
55
14
9		 13
51
18
17		 15
45
22
18		 6
40
28
26
8-10 OC
CP
SV
LN		 ...
...
...
...		 9
33
15
40		 23
40
20
16		 14
46
22
17		 7
38
25
29		 8
33
30
29		 3
26
34
37

 

PSA > 20.0

Gleason

 Clinical Stage
T1a T1b T1c T2a T2b T2c T3a
2-4 OC
CP
SV
LN		 ...
...
...
...		 38
47
9
4		 58
34
7
1		 41
48
10
1		 29
52
14
3		 ...
...
...
...		 ...
...
...
...
5 OC
CP
SV
LN		 ...
...
...
...		 23
57
10
10		 40
48
9
3		 26
60
11
3		 17
61
15
7		 19
55
19
7		 8
54
26
11
6 OC
CP
SV
LN		 ...
...
...
...		 17
51
8
23		 35
49
8
7		 22
60
10
8		 13
57
13
16		 15
51
17
17		 6
46
21
26
7 OC
CP
SV
LN		 ...
...
...
...		 ...
...
...
...		 18
46
22
14		 10
51
24
14		 5
43
27
25		 6
37
32
25		 2
29
36
32
8-10 OC
CP
SV
LN		 ...
...
...
...		 3
24
20
51		 10
34
31
24		 5
37
33
24		 3
28
33
36		 3
23
38
35		 1
17
40
42


Further Explanations

These tables were created by doing radical prostatectomies on thousands of men, and comparing the pathology results with the pre-treatment PSA, Gleason, and stage. If a prostate cancer is "organ confined", this means that it has not broken through the lining of the prostate gland, has not spread to the seminal vesicles, and has not spread to the lymph nodes or elsewhere in the body. If a prostate cancer is truly organ confined, then prostatectomy or a good permanent seed implant alone will have a high chance of curing the tumor.

If the prostate cancer is no longer organ-confined, this means that a radical prostatectomy may leave some cancer cells behind. If any cancer cells are left behind they can multiply and form a new tumor, and the surgery will have been useless.

If the chance that your cancer is organ-confined is less than 70%, you may wish to consider therapies which will also treat the tissues around the prostate gland, such as external beam radiation.

The numbers listed in the tables are only statistical estimates. The chance of having prostate cancer breaking through the capsule can also be influenced by risk factors other than the stage, grade, and PSA.
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