Localised prostate cancer, intermediate risk
Prepared with OnCo (onco.cc/prep/prostate-intermediate-risk/). Orientation, not medical advice; your team knows your case.
My details
What I know, what is unclear, changes to discuss
Saved in this browserMy questions
16 on the sheet- 1.What is my exact diagnosis, stage, and grade, and which tests established them?
- 2.Which biomarkers have been tested on my tumour (for example Gleason Grade Group 2 or 3, PSA 10 to 20 ng/mL, Percentage of positive cores, Cribriform or intraductal carcinoma, Decipher genomic classifier and ArteraAI Prostate for hormone therapy decisions), and what were the results?
- 3.Which subtype is my cancer, and does that change the recommended treatment?
- 4.Is germline (inherited) genetic testing recommended for me or my family?
- 5.For my situation (favourable intermediate risk), which of the standard options do you recommend and why?
- 6.How do the results of CHHiP and PACE-B apply to someone like me?
- 7.For my situation (unfavourable intermediate risk), which of the standard options do you recommend and why?
- 8.Am I a candidate for Leuprolide (leuprorelin) and GnRH agonists, and what side effects should I expect?
- 9.How do the results of HYPO-RT-PC apply to someone like me?
- 10.For my situation (deciding on hormone therapy), which of the standard options do you recommend and why?
- 11.Am I a candidate for ArteraAI Prostate, Decipher Prostate, and what side effects should I expect?
- 12.Are there clinical trials I could join, for example of ArteraAI Prostate, Decipher Prostate, SBRT / SABR (stereotactic radiotherapy)?
- 13.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
- 14.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
- 15.I read that “Whether favourable intermediate risk can be safely watched in the long term”. How does that affect my plan?
- 16.I read that “How to select men for hormone therapy without giving it to everyone in the unfavourable group”. How does that affect my plan?
The words I may hear
- Gleason score / Grade Group: The pathologist's 1-to-5 grade of how abnormal prostate cancer looks, which drives most treatment decisions.
Tests and results to bring
Biomarker results to ask for: Gleason Grade Group 2 or 3, PSA 10 to 20 ng/mL, Percentage of positive cores, Cribriform or intraductal carcinoma, Decipher genomic classifier and ArteraAI Prostate for hormone therapy decisions.
Scans and tests linked to this cancer: Active surveillance, Digital pathology & AI, RNA sequencing & expression profiling.
Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.
The treatments I may be offered
- Favourable intermediate risk: Radical prostatectomy, external beam radiotherapy (moderate or ultra-hypofractionated) or brachytherapy alone; active surveillance for selected men with low volume Grade Group 2 disease. (Robotic & minimally invasive surgery, Hypofractionated radiotherapy, SBRT / SABR (stereotactic radiotherapy), Brachytherapy, Active surveillance, CHHiP, PACE-B)
- Unfavourable intermediate risk: Radical prostatectomy with pelvic lymph node dissection, or external beam radiotherapy with four to six months of androgen deprivation, or external beam plus brachytherapy boost. (Robotic & minimally invasive surgery, Androgen deprivation & AR pathway inhibitors, Leuprolide (leuprorelin) and GnRH agonists, Brachytherapy, IMRT / IGRT (modern external beam), HYPO-RT-PC)
- Deciding on hormone therapy: ArteraAI Prostate predicts benefit from short-course androgen deprivation with radiotherapy; Decipher stratifies risk. (ArteraAI Prostate, Decipher Prostate, Digital pathology & AI)
From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.