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Risk factors in localised prostate cancer

Men and women discussing prostate cancer

This page tells you about risk groups for localised prostate cancer. There is information about

 

A quick guide to what's on this page

Risk factors in localised prostate cancer

Localised prostate cancer is prostate cancer that is only in the prostate gland and has not spread to another part of the body. Doctors divide these cancers into risk groups. 

Low risk prostate cancers are unlikely to grow or spread for many years. 

Medium risk cancers are unlikely to grow or spread for a few years. 

High risk cancers may grow or spread within a few years. 

Doctors use the risk group you fall into to help them decide which treatments may be best for you.

 

CR PDF Icon You can view and print the quick guides for all the pages in the Treating prostate cancer section.

 

 

Risk groups for localised prostate cancer

Localised prostate cancer is prostate cancer that is only in the prostate gland and has not spread to another part of the body. Doctors divide these cancers into risk groups. Low risk prostate cancers are unlikely to grow or spread for many years. Medium risk cancers are unlikely to grow or spread for a few years. High risk cancers may grow or spread within a few years. Doctors use the risk group you fall into to help them decide which treatments may be best for you.

 

Low risk

Localised prostate cancer is classified as low risk if

 

Intermediate risk

Localised prostate cancer is classed as intermediate risk if you have at least one of the following

  • Your PSA level is between 10 and 20 ng/ml
  • Your Gleason score is 7
  • The T stage is T2b or T2c
 

High risk

Localised prostate cancer is classed as high risk if you have at least one of the following

  • Your PSA level is more than 20 ng/ml
  • Your Gleason score is between 8 and 10
  • You have a T3 or T4 tumour

If the cancer is T3 or T4 stage, this means it has broken through the outer fibrous covering (capsule) of the prostate gland, and so it is classed as locally advanced prostate cancer.

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