Emmanuel (65 years old)

Emmanuel is a 65-year-old retired journalist, who lived many years in China. Every year he travels to San Francisco to celebrate the Lunar New Year in its famous Chinatown!

Assessment summary:

• Medical history:
  • Underwent RP + PLND
  • Preoperative PSA 17 ng/ml
  • pT3a pN0 M0
  • ISUP grade group 4 [Gleason score: 4 + 4]
  • Positive surgical margin (2 mm) at apex
• Postoperative findings:
  • Undetectable PSA
  • No adjuvant therapy is undertaken
• 6 months later, repeated PSA is 0.3 ng/ml (PSA confirmed)

He is referred to receive salvage RT.