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Q. |
A 65-year-old man has a routine screening examination, and his serum prostate- specific antigen (PSA) level is found to be 6.7 ng/mL. Digital rectal examination reveals a mildly enlarged prostate gland, but no discrete nodules. One year ago, his PSA was 2.1 ng/mL. The patient is referred to a urologist who performs a biopsy of the gland. Biopsy specimen shows adenocarcinoma of the prostate with a Gleason score of 9. Which of the following best describes his prognosis on the basis of his Gleason score? |
A. | The Gleason score is not reproducible and should not be used as a prognostic variable. |
B. | Because the patient is asymptomatic, the Gleason score will not be predictive of outcome. |
C. | The Gleason score indicates that the patient would have a high risk of recurrence after a radical prostatectomy. |
D. | The Gleason score indicates that the patient would have a very low risk of recurrence after radiation therapy. |
Answer» C. The Gleason score indicates that the patient would have a high risk of recurrence after a radical prostatectomy. |
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