Prostate cancer (US version)
Tailoring treatment for metastatic hormone-sensitive prostate cancer

Eric (67 years old)

Eric, 67 years old, is a former accountant. Since his retirement, he started volunteering in the local animal shelter. He loves petting the cats and organizing fundraising events.

He was recently diagnosed with metastatic PCa.

Assessment summary:

  • Medical history: none
  • ECOG PS: 1
  • Symptoms: back pain and weight loss over the last few months
  • Bone scan: 8 spots (4 on ribs, 4 on spine)
  • CT: locally advanced prostatic mass, few enlarged lymph nodes, 2 spots on the liver
  • PSA: 63 ng/ml
  • Prostate biopsy: ISUP grade group 5 (Gleason 4 + 5)

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