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In the Toronto study of 776 patients, all patients with a PSA rising beyond

30 months were investigated by prostate biopsy examination,

and, if the biopsy was negative, systemic staging was initiated as PSA

approached 10 ng/ml and there were:

- 8 local failures (1.0%)

- 8 distant failures (1 0%)

.

- 9 failures of unknown site (1.2%)

Thus

the local relapse rate should range from 1 0% to 2 2%

but it is likely

,

.

.

,

to be closer to the biopsy-proven 1.0% of patients, because all other men

with biochemical failure in this cohort had negative biopsy results