Prostate cancer
INACTIVE --- Tailoring treatment for metastatic hormone-sensitive prostate cancer

Eduardo (51 years old)

Eduardo, a 51-year-old zoologist, is the biology expert of the local pub quiz team “The Simple Minds”. He can’t pitch in on any of the sports questions, but if there’s a question about the nutritional needs of a pangolin or the regenerative capacities of an axolotl, it’s his time to shine!

He was recently diagnosed with metastatic PCa.
 

  • Medical history: no abnormalities
  • ECOG PS: 0
  • Asymptomatic
  • Bone scan: 1 suspicious area (Th11)
  • CT: locally advanced prostatic mass, few enlarged lymph nodes within the pelvis, no sign of visceral metastasis
  • PSMA-PET scan: 2 spots on the bone and 1 positive lymph node outside the pelvic area
  • PSA: 19 ng/ml
  • Prostate biopsy: ISUP grade group 4 (Gleason 4+4)

Which option would you choose for this patient?