Fabricio (74 years old)

Fabricio is a 74-year-old, retired news anchor. His favourite part of the job was picking out one of the many bowties to go with his tailor-made suits before going on screen.

Consider this patient’s medical history:

Treatment:

• 5 years ago: radical prostatectomy for T2N0M0 PCa
• 2 years ago: early prostate bed salvage RT without ADT for biochemical recurrence (PSA 0.22 ng/ml)

Follow-up information today:

• PSA: 0.7 ng/ml
• PSA-DT: 7 months
• Asymptomatic
• Otherwise fit, no relevant comorbidities
• PSMA-PET/CT: uptake in right acetabular and L1 spinous process