Andrew (67 years old)

Andrew is 67 years old and his favourite hobby is to play boardgames with his wife. They both take it very seriously and always keep scores; the loser has to prepare the Sunday dinner.

• Medical history: history of falls with brief loss of consciousness. Epileptic absence seizure has been suspected but not confirmed
• ECOG PS: 1
• Symptoms: back pain and weight loss over the last few months
• Bone scan: 8 metastases (4 on ribs, 4 on spine)
• CT: locally advanced prostatic mass, few enlarged pelvic lymph nodes, 2 liver metastases
• PSA: 63 ng/ml
• Prostate biopsy: ISUP grade 5 (Gleason 4+5)
• Liver biopsy: confirmed metastatic adenocarcinoma consistent with prostate primary