Prostate cancer

Topic: Active surveillance: yes or no?

Case 1: Siegfried (58 years old)

Siegfried, 58 years old, is a dry-cleaning worker with a passion for yoga. Recently, he was diagnosed with prostate cancer (PCa).
 
  • PSA: 6.2 ng/mL (confirmed)
  • Clinical stage: T2a
  • Prostate biopsy: 3/12 cores positive, ISUP grade 1 [Gleason score 3+3]
  • mpMRI: no tumour visible

Which option do you consider most appropriate in this patient?