Treatment Considerations for Patients With High-Risk, High-Burden Prostate Cancer

Opinion
Video

An expert on prostate cancer discusses treatment considerations for patients with high-risk prostate cancer who have high disease burden and other comorbidities.

Case #2: A 78-Year-Old Man with Metastatic Prostate Cancer

Initial Presentation

  • A 78-year-old cap screening naive man presents with right hip pain and fatigue

Clinical workup

  • Abnormal DRE; PSA 140 ng/mL; Hgb 9.9 g/dL
  • Biopsy revealed diffuse Grade Group 4 and 5 prostate adenocarcinoma
  • Imaging with CT and 99Tc bone scan revealed multiple metastatic bone lesions in the right hip and pelvis in the pelvis, liver lesions c/w mets, and a few scattered LN

Diagnosis

  • Patient is diagnosed with de novo metastatic prostate cancer (de novo M1CSPC)
  • Germline and somatic genetic testing are negative
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