Prostate cancer
Tailoring treatment for metastatic hormone-sensitive prostate cancer

Gustavo (75 years old)

Gustavo, 75 years old, was recently diagnosed with metastatic PCa.

  • Medical history: severe COPD
  • ECOG PS: 2
  • Asymptomatic
  • Bone scan: 1 suspicious area (Th11)
  • CT: locally advanced prostatic mass, few enlarged lymph nodes within the pelvis, no sign of visceral metastasis
  • PSMA-PET scan: 2 spots on the bone and 1 positive lymph node outside the pelvic area
  • PSA: 19 ng/ml
  • Prostate biopsy: ISUP grade group 4 (Gleason score: 4+4)

Which option would you choose for this patient?