Björn (67 years old)

Björn, a 67-year-old retired bus driver, always goes on foot. Cars give him claustrophobia. He goes to the doctor for a routine check-up. Following workup, he is newly diagnosed with PCa.

• No medical history
• Placement stent for angina pectoris 3 months earlier
• T3a N0 M0 based on MRI and bone scan
• ISUP grade group 4 (Gleason score 4+4)
• PSA 23 ng/ml

He declines surgery and prefers to have radiation treatment.