Page 5 - Metastatic castration-naive and castration-sensitive prostate cancer: CUA/CUOG

Staging and prognosis

• For newly diagnosed PC with any high-risk features, staging with CT scan

of the abdomen and pelvis and bone scan (99mTc-MDP) should be

performed (Level 3, Strong recommendation)

– High risk features: PSA>20 ng/mL, Gleason score >7, cT3 or greater

• Patients diagnosed with metastatic PC should be classified as high-

volume/high-risk or low-volume/low-risk based on conventional imaging
and prostate cancer biopsy for prognostication (Level 2, Weak

recommendation)

CT: computed tomography; PC: prostate cancer; PSA: prostate-specific antigen