Prostate cancer (US version)
High-risk non-metastatic prostate cancerMilo (77 years old)
Milo is a very fit 77-year-old former swimmer, who now enjoys living close to the sea and snorkeling almost every day.
He was recently diagnosed with PCa.
Assessment summary:
- Medical history: no relevant comorbidities or medication
- PSA: 22 ng/ml
- ECOG PS: 0
- Serum testosterone: 150 ng/dl
- 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