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442

Adverse Disease Features in Gleason Score 3 4 “Favorable Intermediate-Risk” Prostate Cancer: Implications for Active Surveillance

A. Morlacco, J.C. Cheville, L.J. Rangel, D.J. Gearman, R.J. Karnes

Active surveillance might be an option for a selected subset of men with favorable

intermediate Gleason Score (GS) 3 4; however, clinical models alone have a limited

role in GS upgrade prediction in this setting, and alternative tools may warrant

further investigation.

448

Evaluating the Four Kallikrein Panel of the 4Kscore for Prediction of High-grade Prostate Cancer in Men in the Canary Prostate Active Surveillance Study

D.W. Lin, L.F. Newcomb, M.D. Brown, D.D. Sjoberg, Y. Dong, J.D. Brooks, P.R. Carroll, M. Cooperberg,

A. Dash, W.J. Ellis, M. Fabrizio, M.E. Gleave, T.M. Morgan, P.S. Nelson, I.M. Thompson, A.A. Wagner,

Y. Zheng, for the Canary Prostate Active Surveillance Study Investigators

In men undergoing active surveillance, the Four Kallikrein panel provides incremental

value over routine clinical information for prediction of high-grade cancer in the first

biopsy after diagnosis. These data support incorporation of emerging biomarkers in

models that aid in patient decision-making.

455

Extraprostatic Extension Is Extremely Rare for Contemporary Gleason Score 6 Prostate Cancer

B.B. Anderson, D.T. Oberlin, A.A. Razmaria, B. Choy, G.P. Zagaja, A.L. Shalhav, J.J. Meeks,

X.J. Yang, G.P. Paner, S.E. Eggener

In over 2500 men who underwent radical prostatectomy for prostate cancer there

were no cases of seminal vesicle invasion with Gleason score 6 by current

International Society of Urological Pathology (ISUP) criteria. In addition, focal

extraprostatic extension with true Gleason score 6 was very rare (0.28%).

461

Prognostic Impact of a 12-gene Progression Score in Non–muscle-invasive Bladder Cancer: A Prospective Multicentre Validation Study

L. Dyrskjøt, T. Reinert, F. Algaba, E. Christensen, D. Nieboer, G.G. Hermann, K. Mogensen,

W. Beukers, M. Marquez, U. Segersten, S. Høyer, B.P. Ulhøi, A. Hartmann, R. Stöhr, S. Wach,

R. Nawroth, K. Schwamborn, C. Tulic, T. Simic, K. Junker, N. Harving, A.C. Petersen, J.B. Jensen,

B. Keck, M.-O. Grimm, M. Horstmann, T. Maurer, E.W. Steyerberg, E.C. Zwarthoff, F.X. Real,

N. Malats, P.-U. Malmström, T.F. Ørntoft

In a large prospective European study of non–muscle-invasive bladder cancer we

successfully validated a 12-gene real-time qualitative polymerase chain reaction

test for disease aggressiveness. The test showed independent prognostic power

beyond established risk factors, and may help in stratifying patients to optimal

treatment and follow-up regimens.

470

Re: 10-Year Outcomes After Monitoring, Surgery or Radiotherapy for Localized Prostate Cancer

P.C. Albertsen

470

Re: Diagnostic Accuracy of Ga-68-HBED-CC-PSMA-ligand-PET/CT Before Salvage Lymph Node Dissection for Recurrent Prostate Cancer

B. Hadaschik, K. Herrmann

471

Re: Radiation with or Without Antiandrogen Therapy in Recurrent Prostate Cancer

D. D’Andrea, S.F. Shariat

472

Re: Lower Urinary Tract Symptoms and Incident Falls in Community Dwelling Older Men: The Concord Health and Ageing in Men Project

D. Thomas, B. Chughtai

473

Re: Effectiveness of Adjuvant Chemotherapy After Radical Nephroureterectomy for Locally Advanced and/or Positive Regional Lymph Node Upper Tract Urothelial Carcinoma

E. Xylinas, A. Necchi on behalf of the Young Academic Urologists Urothelial Carcinoma Group of

the European Association of Urology

474

Re: Comparative Effectiveness of Treatment Strategies for Bladder Cancer with Clinical Evidence of Regional Lymph Node Involvement

D. D’Andrea, S.F. Shariat

e u r o p e a n u r o l o g y , vo l . 7 2 , n o . 3 , S e p t emb e r 2 0 1 7

Words ofWisdom

Bladder Cancer

Original Articles

Prostate Cancer