Prostate cancer
Active surveillance: yes or no?

Thomas (58 years old)

Thomas, a 58-year-old nature photographer, was recently diagnosed with PCa.

Summary of diagnostic findings:

  • PSA at first visit: 6.2 ng/ml
  • Clinical stage: T2a
  • Prostate biopsy: 5/12 cores positive, ISUP grade 1 [GS 3+3]
  • mpMRI: no visible tumour

Which option do you consider most appropriate in this patient?