Bradley (59 years old)

Bradley, 59 years old, has been a fortune biscuit writer for the past 20 years. Now he thinks he has run out of luck as he was recently diagnosed with PCa.

Assessment summary:

• Medical history & comorbidities:
  • Minimal LUTS (IPSS: 7), on tamsulosin
  • Type 2 diabetes mellitus, on metformin
• ECOG PS: 0
• PSA: 9 ng/ml
• Clinical stage (DRE): cT2b
• mpMRI: PI-RADS 3 lesion lateral left, no extracapsular extension, prostate volume 44 ml, no bulky median lobe
• Prostate biopsy: ISUP grade group 4 (Gleason score 3+5)
• CT (abdomen/pelvis) + bone scan, or PSMA-PET/CT: no signs of positive LNs or distant metastasis