Case 7: Antonio

Antonio, 67 years old, was recently diagnosed with mHSPC.

Assessment summary:

• Medical history: no abnormalities
• ECOG PS: 0
• PSA: 41 ng/ml
• Prostate biopsy: ISUP grade group 4 (Gleason score 4+4)
• Bone scan: 3 metastases (on vertebral bodies)
• CT: locally advanced prostatic mass; no lymph node or visceral metastatic disease

Antonio went to a different hospital to get a second opinion.

• PSMA-PET/CT: 9 metastases (6 on vertebral bodies, 1 in left ischium and 2 on the left rib), few positive pelvic LNs
• He will start treatment with ADT