Fernando (67 years old)

Fernando is 67 years old. He has close to 100 tropical plants in his tiny apartment, which he maintains at a steady, humid, 25°C. Needless to say, it’s always summer in his apartment and the plants are thriving.

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, 2 spots on the liver
• PSA: 63 ng/ml
• Prostate biopsy: ISUP grade group 5 (Gleason 4+5)