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

Ben (68 years old)

Ben is a 68-year-old former ballroom dancer. Every Saturday evening, he likes to meet with his former dancing partner and dance the night away.

He was diagnosed with PCa during a check-up.

Assessment summary:

  • Medical history: chronic heart failure and atrial fibrillations requiring chronic anticoagulation
  • Life expectancy <5 y
  • PSA: 23 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 5 [Gleason score: 4 + 5]
  • Bone scan and CT abdomen/pelvis: no signs of positive lymph nodes or metastases
  • PSMA-PET/CT: no positive lymph nodes or metastases

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