Prostate cancer
Oligometastatic PCa: treating the primary and/or metastases

Luciano (71 years old)

Luciano, a 71-year-old retired chef, presents for a routine check-up at his general practitioner and is found to have an irregular prostate on digital rectal examination.

  • Asymptomatic
  • No relevant comorbidities
  • PSA: 25 ng/ml
  • Biopsy Gleason score: 4+3 [ISUP grade 3], 6/12 cores are positive
  • Clinical stage: cT3a
  • Bone scan: negative
  • CT scan: solitary lung metastasis in the right lower lobe of the lung (confirmed metastasis of prostate cancer)

Which of the following options would you choose for this patient?