Prostate cancer
High-risk non-metastatic prostate cancer: the devil is in the details

Theodore (60 years)

Theodore is a 60-year-old bicycle mechanic who also enjoys riding the bicycle himself with a group of friends. His wife believes the bike trips are just an excuse to meet up at the bar afterwards. Recently, Theodore was diagnosed with PCa during a check-up.

  • Medical history: no relevant comorbidities or medication
  • PSA: 19 ng/ml
  • Clinical stage: T3a
  • Prostate biopsy: ISUP grade group 3 [Gleason score: 4+3]
  • Standard imaging: no signs of positive lymph nodes or metastases

Which option would you choose for this patient?