Walter (77 years)

Walter is a very fit 77-year-old former couch potato. Indeed, two years ago he decided that there is more to life than staring at a tv screen, and now he’s training to run the Marathon Des Sables. Good for you Walter! A PSA test was the starting point of various medical examinations with results listed below.

• Medical history: no relevant comorbidities or medication
• PSA: 22 ng/ml
• Clinical stage: T3a
• Prostate biopsy: ISUP grade group 4 [Gleason score: 4+4]
• Bone scan: no sign of bone metastases
• Pelvic MRI: confirmation of an extracapsular extension, suspicious right external iliac lymph node
• Choline PET/CT: hypermetabolic right external iliac node corresponding to the suspicious pelvic MRI node. No other signs of node involvement or distant metastases
• ECOG PS: 0