Prostate cancer
Tailoring treatment for metastatic hormone-sensitive prostate cancer

Bart (74 years old)

Bart is 74 years old and loves his dog. When walking in the park, he always gets compliments on how well his dog behaves.

Consider this patient’s medical history:

Treatments:

  • 5 years ago: radical prostatectomy for T2N0M0 PCa
  • 2 years ago: early prostate bed salvage RT without ADT for biochemical recurrence (PSA: 0.22 ng/ml)

Follow-up information today:

  • PSA: 0.7 ng/ml
  • PSA-DT: 7 months
  • Asymptomatic
  • Otherwise fit, no relevant comorbidities
  • PSMA-PET/CT: uptake in right acetabulum and L1 spinous process

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