Prostate cancer
Treatment of high-risk PCa: the basics

Patrick (58 years old)

Patrick is 58 years old and famous for his role in a daily telenovela. While he claims to be annoyed when people approach him using the name of his character, his close relatives know his heart skips a beat every time that happens. Recently, he was diagnosed with PCa.

  • PSA: 36.6 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 2 [Gleason score 3+4]
  • Standard imaging: no signs of positive lymph nodes or metastasis

Comorbidities: no relevant comorbidities or medication

Which option do you consider appropriate in this patient?