Arthur (69 years)

Arthur, a fit 69-year-old, worked in a music store until his retirement.

Because of an episode of acute urinary retention, he was referred to a urologist and was diagnosed with very high-risk PCa.

Assessment summary:

• Medical history: controlled hypertension (on 2 antihypertensives)
• ECOG PS: 0
• PSA: 33.3 ng/ml
• Clinical stage (DRE): cT3
• mpMRI: cT3b cN0
• Biopsy: ISUP grade group 4 [Gleason score 5 + 3]
• Bone scan and CT abdomen/pelvis: cM0