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The "Partin
tables" were originally developed by urologists Dr. Alan
W. Partin and Dr. Patrick C. Walsh of Johns Hopkins based on data
from hundreds of patients who had been treated for prostate cancer.
Taking the
three things known about a man's disease -- PSA level, Gleason
score, and estimated clinical stage -- the tables were designed
to try to estimate your specific pathological stage, and thus
help your doctor determine the best course of treatment.
Updated most
recently in 2001, the Partin tables provide not only the probability
that your prostate cancer has reached the various pathological
stages, but provide the range of those possibilities at a 95 percent
level of confidence
The Partin
tables provide estimates on four items:
- The probability
that your cancer is completely confined to the prostate (confined
to prostate);
- The probability
that the your cancer has extended into and perhaps through the
fibrous capsule that surrounds the prostate gland (established
capsular penetration);
- The probability
that your cancer has spread into the seminal vesicles, glands
connected to the prostate at the base of the bladder (seminal
vesicle involvement);
- The probability
that your prostate cancer has spread into your lymph nodes.
The probability
that your cancer has or has not reached these pathological stages
can be a significant factor in how a doctor will want to treat
the cancer, and how you may wish to be treated.
However, it
is important to note that the Partin tables provide estimates
of probabilities -- and obviously cannot be used to specificy
the prognosis for any individual patient with any known degree
of accuracy.
The actual
clinical value of these tables in predicting outcomes for large
numbers of patients has never actually been proven.
Patients are
strongly advised to discuss data from these tables with their
physicians.
All information provided in
this site is offered for educational purposes only, and it is not
intended nor implied to be a substitute for professional medical
advice. Always consult your own physician or healthcare provider
with any questions you may have regarding a medical condition. |