Man, 68 years old - Re-vote

Man, 68 years old. Together with his spouse, he loves taking care of his 2 grandchildren after school once a week, and he enjoys his daily walk with their dog. Unfortunately, he is diagnosed with de novo mHSPC.

• Medical history: well-controlled hypertension, treated with lisinopril
• ECOG PS: 0, mild back pain
• PSA: 59 ng/ml
• Lab values: normal
• Prostate biopsy: ISUP grade group 4 (Gleason score 4+4)
• Bone scan: 3 metastases (2 on vertebral bodies, 1 in right ischium)
• CT scan: locally advanced prostatic mass, few positive pelvic LNs, no visceral metastases
• No germline or somatic mutations detected
• He will start treatment with ADT