Prostate cancer
High-risk non-metastatic prostate cancer: the devil is in the details

Stephen (68 years old)

Stephen is a 68-year-old retired car mechanic who had to give up his dream of becoming pinstripe-painter at Rolls-Royce for the obvious reason that he can’t even draw a straight line. He is diagnosed with PCa during a check-up.

  • Medical history: no relevant comorbidities or medication
  • PSA: 23 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 5 [Gleason score: 4+5]
  • Standard imaging: no signs of positive lymph nodes or metastases

Which option would you choose for this patient?