Vincenzo (74 years old)

Vincenzo, aged 74 years, enjoys spending time on his own little vineyard. He presents with mild right hip discomfort to his GP.

• Medical history:
  • 5 years ago: RP for T2N0M0 PCa
  • 2 years ago: early prostate bed salvage RT without ADT for biochemical recurrence (PSA 0.22 ng/ml)
• No relevant comorbidities
• Otherwise fit
• Plain X-ray: lytic bone lesion
• PSA: 0.7 ng/ml
• PSA-DT: 8 months

The patient was referred to an uro-oncologist.

• PSMA-PET/CT: uptake in right acetabular and L1 spinous process (corresponding to lytic bone lesion on X-ray)