Bobby (76 years old)

Bobby is a frail man aged 76. After visiting a doctor for urinary problems, he was diagnosed with PCa.

• PSA: 16.7 ng/ml
• Clinical stage: T3b
• Prostate biopsy: ISUP grade group 4 [Gleason score 4+4]
• Standard imaging: no signs of positive lymph nodes or metastasis

Comorbidities: Bobby suffers from moderate COPD but can’t resist smoking some cigarettes each day.