Prostate cancer
EAU 2025 Re-vote

Man, 70 years old - Re-vote

Diagnosed with synchronous mHSPC.

  • Medical history: atrial fibrillation (lifelong treatment with rivaroxaban)
  • ECOG PS: 1
  • PSA: 56 ng/ml
  • Lab values: normal
  • Prostate biopsy: ISUP grade group 4 (Gleason score 4+4)
  • Bone and CT scan: 9 metastases (6 on spine, 3 on ribs)
  • No germline or somatic mutations detected
  • He will start treatment with ADT

Which systemic treatment option would you choose for this patient?