Prostate cancer

Topic: First-line treatment of high-risk non-metastatic PCa

Case 1: Stanley (59 years old)

Stanley, a firefighter aged 59, is in good shape and makes the most romantic yet safe campfires. Recently, he was diagnosed with prostate cancer (PCa).
  • PSA: 36.6 ng/mL
  • Clinical stage: T3a
  • Prostate biopsy: Gleason score 4+3
  • Standard imaging: no signs of positive lymph nodes or metastasis
Comorbidities: no relevant comorbidities or medication

Which option do you consider most appropriate in this patient?