Prostate Cancer Nomograms Male Life Expectancy Share Prediction Tools: DisclaimerThe prediction tools (also known as prognostic nomograms) available on Memorial Sloan Kettering Cancer Center’s (“MSK”) website use algorithms or mathematical formulas to estimate the probability of a particular outcome. They are for general health information only. The tools have not been reviewed or approved by any regulatory agencies in the United States or elsewhere, and are not intended for use as a medical device. The tools are not to be used as a substitute for medical advice, diagnosis, or treatment of any health condition or problem. Users of the prediction tools should not rely on any resulting information for their own health problems. Outputs from these tools are estimates based on survival models built from databases of large numbers of patients. The predictions suggested by these tools may not apply to a given individual. A licensed clinician should always be consulted for any health problem(s) or medical condition(s). Users agree to use the prediction tools for educational and/or research purposes only, and not for any commercial purposes, including the distribution, licensing, or sale of their content to any other person or entity, whether alone or in combination with other materials, or the incorporation of any of the prediction tools into any commercial product. MSK makes no warranties, nor express or implied representations whatsoever, regarding the accuracy, completeness, timeliness, comparative or controversial nature, or usefulness of any information contained or referenced in the prediction tools. MSK does not assume any risk whatsoever for use of the prediction tools or the information contained therein. As health-related information changes frequently, information contained in the prediction tools may be outdated, incomplete, or incorrect. Use of the prediction tools does not create an express or implied physician-patient relationship. MSK does not endorse or claim validity for the prediction tools found on MSK’s website. The activities and products of MSK and its developers and agents (collectively MSK) are not endorsed by past, present, or future employers. MSK does not record specific prediction tool user information and does not contact users of the prediction tools. Users are advised to consult with a physician or other professional healthcare provider prior to making any decisions, or undertaking any actions or not undertaking any actions related to any healthcare problem or issue that users might have at any time, now or in the future. In using the prediction tools, users agree that neither MSK nor any other party is or will be liable or otherwise responsible for any decision made or any action taken or any action not taken due to the use of any information resulting from the prediction tools on MSK’s website. Our Male Life Expectancy tool can be used by patients before treatment for prostate cancer. Patients answer some questions about their prostate cancer and their health in general. They are given the chance that, 15 years from now, they will die of untreated prostate cancer, die of some other cause, or be alive. These numbers can be used when discussing treatment options with cancer doctors.Enter Your InformationAll fields are required unless noted optionalDisqualifying TreatmentsIf you have received either hormone or radiation therapy for prostate cancer, the results of this tool will not apply to you. Have you gotten hormone therapy (e.g., Lupron, Taxotere, Casodex, Eulexin, or Zoladex) for prostate cancer OR plan to get it? Yes No Have you gotten radiation therapy for prostate cancer OR plan to get it? Yes No General Information What is your age? years (18 to 90) What is your most recent PSA (prostate-specific antigen) level? ng/mL (0.1 to 100) Gleason Pattern & Score InformationTo use this tool successfully, you will need to know your primary and secondary Gleason pattern numbers.How are Gleason patterns/scores determined?Physicians characterize the aggressiveness of prostate cancer using the Gleason scoring system, which provides an estimate of the cancer’s potential to grow and spread to other parts of the body. The pathologist determines the Gleason pattern (also referred to as the grade) based on how closely the cells of the gland resemble those of a normal prostate. All the cores of tissue taken during a biopsy are examined by a pathologist, who assigns a pattern number to the largest area of cancer in each core (known as the primary Gleason pattern number), and a second pattern number to the next most common area (known as the secondary Gleason pattern number). The two pattern numbers added together are the Gleason score. If more than one biopsy core contains cancer cells, the patient’s overall Gleason score is determined by the core with the highest Gleason score. What grade is your prostate cancer? Select...63+44+38910 Cancer StagesMore on prostate cancer stagingThe following are clinical tumor stages for prostate cancer. TX: cannot evaluate the primary tumor T0: no evidence of tumor T1: tumor present, but not detectable clinically or with imaging studies T1a: tumor was incidentally found in less than 5% of prostate tissue resected (for other reasons) T1b: tumor was incidentally found in more than 5% of prostate tissue resected T1c: tumor was found in a needle biopsy performed following an elevated serum PSA result T2: tumor can be felt (palpated) on examination, but has not spread outside the prostate T2a: tumor is in half or less than half of one of the prostate gland's two lobes T2b: tumor is in more than half of one lobe, but not both T2c: tumor is in both lobes T3: tumor has spread through the prostate capsule (If the tumor has spread only part-way through, it is still T3.) T3a: tumor has spread through the capsule on one or both sides T3b: tumor has invaded one or both seminal vesicles T4: tumor has invaded other nearby structures What T stage is your prostate cancer? Select...T1a/T1b: tumor in prostate tissue resected (for other reasons)T1c: tumor in biopsy performed due to an elevated serum PSAT2a: tumor in half or less than half of one of the prostate lobesT2b: tumor in more than half of one lobe, but not bothT2c: tumor in both lobes but within prostatic capsuleT3: tumor has spread through the prostate capsuleT4: tumor invaded other nearby structuresDon't know What M stage is your prostate cancer? Select...M0: No evidence of metastasisM1: I have metastatic disease Health HistoryThe following questions are about other illnesses that you may have. Have you ever had or been told you have any of the following? Chest pain, also known as angina Yes No Heart attack Yes No Congestive heart failure (CHF), a “weak heart”, “water in the lungs” Yes No Problem with a valve in your heart, such as aortic stenosis or a blockage in one of your heart valves Yes No Atrial fibrillation (A Fib) or an irregular heartbeat Yes No Abdominal aortic aneurysm or a widening of a major artery in your abdomen Yes No Diabetes Yes No When were you diagnosed with diabetes? Select...0-5 years ago6-10 years ago11-20 years agoMore than 20 years ago Peripheral vascular disease (PVD), poor circulation, or claudication (pain and cramps while walking) Yes No Deep vein thrombosis (blood clot in your leg, also called a DVT) Yes No Pulmonary embolus (blood clot in your lung, also called a PE) Yes No A transient ischemic attack (TIA), also known as a mini-stroke Yes No A stroke (other than a TIA) Yes No Did the stroke involve bleeding in the brain (hemorrhage) or a blood clot (infarction, thrombosis, or embolism)? BleedingBlood ClotNot Sure Asthma Yes No How much does your asthma make it hard to do your daily activities? Select...Does not interfere with daily activitiesSome interference with daily activitiesMajor impact on daily activities Cholesterol Do you know your total cholesterol? If you are taking pills for your cholesterol, tell us about your cholesterol when you are on the pills. Select...High (higher than 270 mg/dL)Medium (200 - 270 mg/dL)Normal (less than 200 mg/dL)Not sure Do you know your level of HDL (“good”) cholesterol? Select...Very low (less than 20 mg/dL)Low (20 - 60 mg/dL)Normal (higher than 60 mg/dL)Not sure Blood PressureBlood pressure is described as one number “over” another number, such as “115 over 70.” If you are taking pills for your blood pressure, tell us about your blood pressure when you are on the pills. If you know your blood pressure, what is the first (higher) number? Select...160 mm Hg or higher (high)140 - 159 mm Hg (elevated)Less than 140 mm Hg (normal/low)Not sure What is the second (lower) number? Select...100 mm Hg or higher (high)90 - 99 mm Hg (elevated)Less than 90 mm Hg (normal/low)Not sure Smoking History Have you ever smoked more than 100 cigarettes (5 packs = 100 cigarettes) in your life? Yes No In the past 30 days, have you smoked cigarettes (even a single puff)? Yes No Clear