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Making an Appointment

In order to use the prostate nomogram, you will need to get certain information from your doctor about your medical condition. See below for the information needed, listed according to which portion of the nomogram that you plan to use.


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Pre-Treatment

If you have not yet received treatment for your prostate cancer, you will need to have the following information in order to use the nomogram:

  • your most recent PSA (prostate specific antigen) value
  • your primary and secondary Gleason grade
  • your doctor's assessment of your clinical tumor stage (using the 1992 or 1997 UICC system)
  • the number of positive cores (samples) found during biopsy
  • the number of negative cores (samples) found during biopsy
  • if you've already seen a radiation oncologist, the radiation therapy dose that he or she is planning to deliver
  • whether or not you have had neo-adjuvant hormones
  • whether or not you have had neo-adjuvant radiation

    Pre-Treatment Worksheet

    We encourage patients to use the nomogram with their doctors. For a more detailed list of what you need to use this prediction tool, print the Pre-Treatment Worksheet and bring it with you to your next appointment. (The Worksheet is a pdf file. The Adobe Acrobat plug-in is required. Click here to download free plug-in from Adobe.)

    Post-Radical Prostatectomy

    If you have already received surgery (radical prostatectomy), you may need to have or to know the following information to complete the nomogram:

    • your PSA (prostate specific antigen) value prior to surgery or other treatment
    • your primary Gleason grade at surgery
    • your secondary Gleason grade at surgery
    • the year of your prostatectomy
    • the number of months you have been disease free
    • whether or not your surgical margins were positive
    • whether or not cancer was found in your seminal vesicles
    • whether or not cancer was found in your lymph nodes (if any were removed)
    • whether or not there was extra capsular extension
    • whether or not you have had neo-adjuvant hormones
    • whether or not you have had neo-adjuvant radiation

    Post-Radical Prostatectomy Worksheet

    We encourage patients to use the nomogram with their doctors. For a more detailed list of what you need to use this prediction tool, print our Post-Radical Prostatectomy Worksheet and bring it with you to your next appointment. (The Worksheet is a pdf file. The Adobe Acrobat plug-in is required. Click here to download free plug-in from Adobe.)

    Salvage Radiation Therapy

    If you have experienced a recurrence of your prostate cancer after receiving a radical prostatectomy and are considering salvage radiation therapy, you will need to know the following information to complete the Salvage Radiation Therapy portion of the nomogram:

    • months you were disease free
    • your primary Gleason Grade at surgery
    • your secondary Gleason Grade at surgery
    • pre-radiotherapy PSA
    • PSA at time of prostatectomy
    • PSA Doubling Time
    • radiation dose (if applicable)
    • if your surgical margins were positive
    • if there was seminal vesicle involvement
    • if there was lymph node involvement
    • if there was extra capsular extension
    • if neoadjuvant hormones were received
    • if you had an elevated post-radical prostatectomy PSA

    Salvage Radiation Therapy Treatment Worksheet

    We encourage patients to use the nomogram with their doctors. For a more detailed list of what you need to use this prediction tool, print our Salvage Radiation Therapy Worksheet and bring it with you to your next appointment. (The Worksheet is a pdf file. The Adobe Acrobat plug-in is required. Click here to download free plug-in from Adobe.)

    Hormone Refractory Treatment

    If you are considering receiving hormone refractory treatment, you will need to know the following information to complete the Hormone Refractory portion of the nomogram:

    • your Karnofsky Performance Status (KPS)
    • your Hemoglobin (HGB) value
    • your PSA
    • your Lactate Dehydrogenase (LDH) value
    • your Alkaline Phosphatase (ALK) value
    • your Albumin value

    Hormone Refractory Treatment Worksheet

    We encourage patients to use the nomogram with their doctors. For a more detailed list of what you need to use this prediction tool, print the Hormone Refractory Worksheet and bring it with you to your next appointment. (The Worksheet is a pdf file. The Adobe Acrobat plug-in is required. Click here to download free plug-in from Adobe.)

    Additional Tools

    The additional tools portion of the prostate nomogram -- which includes statistical devices measuring volume and PSA doubling time -- is not required to complete the nomogram. However, if you would like to use any of these features, you will need to have the following information:

    PSA Doubling Time

    To use and complete the PSA doubling time portion of the nomogram, you will need to know the following information:

    • at least two PSA test results
    • the date the tests were taken

    Volume

    To use and complete the volume portion of the nomogram, you will need to know the following information:

    • Prostate length
    • Width/transverse
    • Prostate height
    • Pre-treatment PSA
    Last Updated: Feb. 13, 2009
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