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

Matthew (60 years)

Matthew, 60 years old, is a high-school math teacher. In his free time, he often takes part in fishing tournaments at the nearby lakes, this year he already won 3 gold medals!

He was diagnosed with PCa during a check-up.

Assessment summary:

  • Medical history: no relevant comorbidities or medication
  • PSA: 19 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 3 [Gleason score: 4 + 3]
  • 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?