High Grade Nomogram

This nomogram can be used to predict 3-year probability of biochemical PSA cure (< 0.2 ng/mL) for patients with Gleason sum 4+3=7 or greater after radical prostatectomy.

Gleason sum 7(4+3), 8, 9 or 10
Intraductal cancer of prostate (IDC-P)
Seminal vesical invasion (T3b)
Extraprostatic spread/capsule penetration (T3a)
Positive surgical margin
TZ tumour origin


Probability of PSA cure (PSA < 0.2ng/mL) at 3 years 0%


This nomogram was developed in Western Australia using data from 2677 patients with Gleason sum 4+3 or greater undergoing radical prostatectomy between 1998-2016. Reference: Teloken PE, Li J, Woods CG, Cohen RJ. The impact of prostate cancer zonal origin on pathological parameters at radical prostatectomy and subsequent biochemical failure. The Journal of Urology (2017); doi: 10.1016/j.juro.2017.05.075.