Brian (65 years old)

Brian, 65 years old, has the world’s largest collection of garden gnomes. Every day, he gets up at 5 AM to polish them from head to toe.

• Medical history:
  • Underwent RP + PLND
  • Preoperative PSA 17 ng/ml
  • pT3a pN0 M0
  • ISUP grade group 4 (Gleason score 4+4)
  • Positive surgical margin (2 mm) at apex
• Postoperative findings:
  • Undetectable PSA
  • No adjuvant therapy is undertaken
• 6 months later, repeat PSA is 0.3 ng/ml.

He is referred to receive salvage RT.