Prostate cancer (US version)
High-risk non-metastatic prostate cancer

Xavier (58 years old)

Xavier is a 58-year-old nurse, with a passion for cooking. He recently started a vegetable garden, but he is having troubles with mice that are eating all his vegetables!

He was diagnosed with PCa.

Assessment summary:

  • Medical history: no relevant comorbidities or medication
  • PSA: 12 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 4 [Gleason score: 4 + 4]
  • MRI pelvis: 2 enlarged left internal iliac nodes (1.6 cm and 1.2 cm respectively)
  • Bone scan: no signs of distant metastases

Which of the following treatment options would you choose for this patient?