Gary (69 years old)

Gary is a 69-year-old retired violinist. He was recently diagnosed with high-risk prostate cancer (PCa; PSA 32.2 ng/mL, cT2b, biopsy ISUP grade 3 (Gleason score [GS] 7 [4+3]), organ confined according to MRI). He was treated with radical prostatectomy (RP) and an extended pelvic lymph node dissection (ePLND). The pathology report shows:

• An upgrading from biopsy ISUP grade 3 [GS 7] to pathological ISUP grade 4 [GS 8]

• Positive surgical margins (SM+)

• Seminal vesicle invasion (SVI)

• Extracapsular extension (ECE)/pT3

• No positive lymph nodes (pN0)