Prostate cancer
Treatment of high-risk PCa: the basics

Sherlock (68 years old)

Sherlock is a 68-year-old retired consulting detective for Scotland Yard. Now, he is a beekeeper in Sussex. He was recently diagnosed with localised PCa (asymptomatic).

  • PSA: 56 ng/ml
  • Clinical stage: T2b
  • Prostate biopsy: ISUP grade group 4 [Gleason score 4+4]
  • Standard imaging: no signs of positive lymph nodes or metastasis

Comorbidities: Sherlock suffers from severe liver disease and diabetes-induced retinopathy

Which option would you choose for this patient?