Prostate cancer
Active surveillance: yes or no?

Mario (54 years old)

Mario is a botanist aged 54. He has recently been diagnosed with PCa.

Summary of diagnostic findings:

  • PSA at first visit: 4.5 ng/ml
  • Clinical stage: T2b
  • Prostate biopsy: 3/12 cores positive, ISUP grade 1 [GS 3+3]
  • mpMRI: T3 (extra-capsular)


Which option do you consider most appropriate in this patient?