Prostate cancer
Active surveillance: yes or no?

Richard (57 years old)

Richard, a 57-year-old saxophone player and music teacher, was recently diagnosed with PCa.

Summary of diagnostic findings:

  • PSA at first visit: 5.4 ng/ml
  • Clinical stage: T2b
  • Prostate biopsy: 2/12 cores positive, ISUP grade 2 [GS 3+4]
  • mpMRI: T2 (intra-capsular)

Which option do you consider most appropriate in this patient?