Localized Disease Risk Stratification
T1
T3 NCCN D’Amico
T2
DRE
High risk High Risk
cT3a or cT2c-T3a or
Gleason GG 4 or 5 or Gleason ≥8 or
PSA >20 ng/mL PSA >20 ng/mL
PSA Pathology
Very High Risk
cT3b-4 or
Primary Pattern 5 or
>4 cores GG 4 or 5
NCCN 3.2020