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e u r o p e a n u r o l o g y , vo l . 7 1 , n o . 5 , Ma y 2 0 1 7

740

Germline Mutations in ATM and BRCA1/2 Distinguish Risk for Lethal and Indolent Prostate Cancer and are Associated with Early Age at Death

R. Na, S.L. Zheng, M. Han, H. Yu, D. Jiang, S. Shah, C.M. Ewing, L. Zhang, K. Novakovic,

J. Petkewicz, K. Gulukota, D.L. Helseth Jr, M. Quinn, E. Humphries, K.E. Wiley, S.D. Isaacs, Y. Wu,

X. Liu, N. Zhang, C.-H. Wang, J. Khandekar, P.J. Hulick, D.H. Shevrin, K.A. Cooney, Z. Shen,

A.W. Partin, H.B. Carter, M.A. Carducci, M.A. Eisenberger, S.R. Denmeade, M. McGuire, P.C. Walsh,

B.T. Helfand, C.B. Brendler, Q. Ding, J. Xu, W.B. Isaacs

The carrier rate of germline

BRCA1/2

and

ATM

mutation was ~5-fold higher in lethal

prostate cancer patients than in localized prostate cancer patients. Mutation carriers

of

BRCA1/2

and

ATM

are associated with earlier age at death and shorter survival

time.

748

The Evolving Narrative of DNA Repair Gene Defects: Distinguishing Indolent from Lethal Prostate Cancer

D.G. Murphy, G.P. Risbridger, R.G. Bristow, S. Sandhu

750

Application of a Prognostic Gleason Grade Grouping System to Assess Distant Prostate Cancer Outcomes

M.S. Leapman, J.E. Cowan, J. Simko, G. Roberge, B.A. Stohr, P.R. Carroll, M.R. Cooperberg

A prognostic Gleason grade grouping system differentiated risk of distant prostate

cancer outcomes, including cancer-specific mortality and metastatic progression, in

a cohort of 10 529 patients across management strategies, including active

surveillance.

760

Validation of a Contemporary Five-tiered Gleason Grade Grouping Using Population-based Data

J. He, P.C. Albertsen, D. Moore, D. Rotter, K. Demissie, G. Lu-Yao

Our study used patients identified from 18 US cancer registries to validate a proposed

five-tiered Gleason grade grouping (GGG) system. This is the first study to show that

the five-tiered GGG system predicts prostate cancer–specific mortality well.

764

Prostate Cancer Grade Groups Correlate with Prostate-specific Cancer Mortality: SEER Data for Contemporary Graded Specimens

J.I. Epstein

766

Clinical Outcomes for Patients with Gleason Score 9–10 Prostate Adenocarcinoma Treated With Radiotherapy or Radical Prostatectomy: A Multi-institutional Comparative Analysis

A.U. Kishan, T. Shaikh, P.-C. Wang, R.E. Reiter, J. Said, G. Raghavan, N.G. Nickols, W.J. Aronson,

A. Sadeghi, M. Kamrava, D.J. Demanes, M.L. Steinberg, E.M. Horwitz, P.A. Kupelian, C.R. King

Radiotherapy-based treatments and radical prostatectomy offer equivalent survival

for patients with very aggressive Gleason score 9–10 prostate adenocarcinoma.

Importantly, radiotherapy patients received high-dose radiation with androgen

deprivation therapy, consistent with modern standards of care.

774

Local Therapy for Gleason 9–10 Prostate Cancer: Looking to the Future

W.W. Ludwig, A.E. Ross, P.M. Pierorazio

776

Subgroups of Castration-resistant Prostate Cancer Bone Metastases Defined Through an Inverse Relationship Between Androgen Receptor Activity and Immune Response

E.B. Ylitalo, E. Thysell, E. Jernberg, M. Lundholm, S. Crnalic, L. Egevad, P. Stattin, A. Widmark,

A. Bergh, P. Wikström

Bone metastases in men with castration resistant prostate cancer show molecular

heterogeneities of probable importance for patient response to different treatment

modalities.

788

Prostate Cancer and Immune Monitoring: Are We Heading Towards Better Selection of Patients and Treatment Strategies?

M. Lolkema, R. Debets, R. de Wit