Prostate cancer
Treatment of high-risk PCa: the basics

Lewis (68 years old)

Lewis is a 68-year-old retired costume maker for the Bolshoi Ballet. Now, he spends his time making costumes for his doll collection. He was recently diagnosed with localised PCa (asymptomatic).

  • PSA: 56 ng/ml
  • Clinical stage: T2b
  • Prostate biopsy: ISUP grade group 4 [Gleason score 4+4]
  • Standard imaging: no signs of positive lymph nodes or metastasis

Comorbidities: no relevant comorbidities or medication

Which option would you choose for this patient?