Bernd (68 years old)

Bernd is a 68-year-old retired CEO of a big soda company. He never drank any of his own sodas, as it makes him burp the whole time. He is diagnosed with PCa during a check-up.

• Medical history: chronic heart failure and atrial fibrillations requiring chronic anticoagulation
• PSA: 23 ng/ml
• Clinical stage: T3a
• Prostate biopsy: ISUP grade group 5 [Gleason score: 4+5]
• Standard imaging: no signs of positive lymph nodes or metastases