APHIG: a new multiparameter index for prostate cancer

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Abstract

Serum of 336 patients with primary prostate cancer (PC) with baseline total prostate-specific antigen level (totPSA) < 30.0 ng/ml was tested for free PSA (freePSA) and [-2]proPSA; %freePSA, %[-2]proPSA, prostate health index (phi), and a new index APHIG calculated using lab tests and taking into account age, T stage and Gleason score from biopsy were evaluated. Obtained data was compared to tumor stage (pTNM) and malignancy grade according to the Gleason score based on the final histological report after prostatectomy. APHIG has statistically significant benefits compared to PSA-associated markers for differentiation of clinically significant subgroups of PC: pT2c/pT3a/pT3b; local indolent PC/local aggressive/locally advanced/PC with regional metastases; total Gleason score 5–6/7(3 + 4)/7(4 + 3).

About the authors

N. S. Sergeeva

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia;
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: prognoz.01@mail.ru

3 2nd Botkinskiy Proezd, Moscow 125284;

1 Ostrovityanovа St., Moscow 117997

Russian Federation

T. E. Skachkova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Author for correspondence.
Email: adora.wh@gmail.com
1 Ostrovityanovа St., Moscow 117997 Russian Federation

B. Ya. Alekseev

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia

Email: byalekseev@mail.ru
3 2nd Botkinskiy Proezd, Moscow 125284 Russian Federation

E. F. Yurkov

Institute for Information Transmission Problems (Kharkevich Institute), Russian Academy of Sciences

Email: jork@iitp.ru
Build 1, 19 Bol’shoy Karetnyy Pereulok, Moscow 127051 Russian Federation

S. A. Pirogov

Institute for Information Transmission Problems (Kharkevich Institute), Russian Academy of Sciences

Email: s.a.pirogov@bk.ru
Build 1, 19 Bol’shoy Karetnyy Pereulok, Moscow 127051 Russian Federation

V. G. Gitis

Institute for Information Transmission Problems (Kharkevich Institute), Russian Academy of Sciences

Email: gitis@iitp.ru
Build 1, 19 Bol’shoy Karetnyy Pereulok, Moscow 127051 Russian Federation

N. V. Marshutina

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia

Email: prognoz.06@mail.ru
3 2nd Botkinskiy Proezd, Moscow 125284 Russian Federation

A. D. Kaprin

P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Center, Ministry of Health of Russia

Email: kaprin@mail.ru
3 2nd Botkinskiy Proezd, Moscow 125284 Russian Federation

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