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Glinsky                                                                                                                                 Genetic signatures of lethal disease in early stage prostate cancer








































































           Figure 1: Natural history of prostate cancer progression in patients’ population from a Swedish watchful waiting cohort with up to
           30 years follow-up (A) and classification performance of the 98 genes signature of lethal disease in prostate cancer patients (B-E).
           (A) Cancer-specific survival data in the entire watchful waiting cohort are presented to illustrate markedly distinct survival timelines
           of non-treated prostate cancer patients diagnosed with different Gleason scores prostate cancer. Kaplan-Meier survival analysis
           of the classification performance of the 98 genes GES in the training set (B), test set (C), and pooled cohort of 281 patients (D, E).
           Classification threshold 98 genes GES score of 270.43 units was chosen using the training set of 141 prostate cancer patients and
           consistently applied in all subsequent validation screens using the Kaplan-Meier survival analysis to stratify the patients into lethal
           disease sub-groups (score ≥ 270.43) and moderate/aggressive disease sub-group (score < 270.43). Percent value indicates the
           proportion of patients in the lethal disease sub-group. P values indicate the significance of the differences in the numbers of death
           events and surviving patients between the groups which was determined using two-sided Fisher’s exact test. GES: gene expression
           signatures
            182                                                            Journal of Cancer Metastasis and Treatment ¦ Volume 3 ¦ September 21, 2017
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