Evidence map›Paper›PMID 42801030›Full record

ArticleProstate international2026

Clinicopathologic profile of Filipino men with low-risk prostate cancer and predictors of unfavorable pathology at radical prostatectomy.

Pia N A Duque, Jeffrey S So

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Article in Prostate international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Pia N A DuqueInstitute of Pathology, St. Luke's Medical Center, Quezon City, Philippines.
Jeffrey S SoInstitute of Pathology, St. Luke's Medical Center, Quezon City, Philippines.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Active surveillance (AS) is the preferred initial management for low-risk prostate cancer; however, a substantial proportion of patients are found to harbor more advanced disease at radical prostatectomy. This study evaluated the clinicopathologic features and surgical outcomes of Filipino men with low-risk prostate cancer and identified predictors of unfavorable pathology. Materials and methods: This retrospective cohort study included 65 Filipino men with low-risk prostate cancer who underwent radical prostatectomy. Low-risk disease was defined as grade group 1 (Gleason score: 3 + 3 = 6) and prostate-specific antigen (PSA) < 10 ng/mL. Clinicopathologic features included age, PSA, biopsy characteristics, and measures of tumor volume such as the number of positive cores and percent positive cores (PPC). Unfavorable pathology was defined as upgrading to grade group ≥2 or grade group 1 with tertiary pattern 4, pathologic upstaging (pT3-pT4 or pN1), or both. Logistic regression and receiver operating characteristic analyses were performed to identify predictors of unfavorable pathology and determine an optimal cutoff for PPC. Results: Unfavorable pathology was observed in 56.92% of patients, predominantly due to upgrading, with fewer cases demonstrating upstaging. No cases of regional lymph node metastasis were identified. On multivariable analysis, PPC (per 10% increase) was a significant predictor of unfavorable pathology (odds ratio: 2.95, 95% confidence interval: 1.60-6.58; Conclusions: A substantial proportion of Filipino patients with low-risk prostate cancer harbor more advanced disease at radical prostatectomy. Tumor volume, as measured by PPC, may help identify patients at risk of unfavorable pathology and aid in refining selection of candidates for active surveillance.

Indexed as

BiopsyProstatectomyProstatic neoplasmsWatchful waiting

Identifiers

PMID42801030
PMCPMC13615697

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.