Claude (62 years old)

Claude, 62 years old, dominates the bridge table, reading opponents like a book. Yet, behind his competitive façade, he guards a secret passion for cheesy romance novels, a world he escapes to with a mischievous grin. He was recently diagnosed with PCa during a check-up.

Assessment summary:

• Medical history: no relevant comorbidities or medication
• ECOG PS: 0
• PSA: 19 ng/ml
• Clinical stage (DRE): cT3a
• mpMRI: PI-RADS 5 lesion left apical-mid peripheral zone, extracapsular extension, prostate volume 44 ml, no bulky median lobe
• Prostate biopsy: ISUP grade group 3 (Gleason score 4+3)
• CT (abdomen/pelvis) + bone scan, or PSMA-PET/CT: no signs of positive LNs or distant metastasis