Prostate cancer
INACTIVE --- Active surveillance: yes or no?

Mario (54 years old)

Mario is a botanist aged 54. He has recently been diagnosed with PCa.

 

  • PSA at first visit: 4.5 ng/mL

  • Clinical stage: T2b

  • Prostate biopsy: 3/12 cores positive, ISUP grade 1 [Gleason score 3+3]

  • mpMRI: T3 (extra-capsular)

Which option do you consider most appropriate in this patient?