Prostate cancer
Tailoring treatment for metastatic hormone-sensitive prostate cancer

Diego (67 years old)

Diego, a 67-year-old retired fireman, still volunteers to speak at schools about the danger of fire. He was recently diagnosed with metastatic PCa.

  • Medical history: no abnormalities
  • ECOG PS: 1
  • Symptoms: back pain and weight loss over the last few months
  • Bone scan: 8 suspicious areas (4 on ribs, 4 on spine)
  • CT: locally advanced prostatic mass, few enlarged lymph nodes
  • PSA: 63 ng/ml
  • Prostate biopsy: ISUP grade group 5 (Gleason 4+5)

Which option would you choose for this patient?