2016_BT PROSTATE CANCER COURSE BOOK

What is your preferred management for a patient aged 66 years presenting with an IPSS of 19, PSA of 13.6, Gleason score 4+4 prostate cancer which is stage T3a on MR staging? He has no significant co-morbidities a) Radical prostatectomy

b) Active surveillance

c) External beam IMRT to 78Gy with ADT

d) LDR d b h th see rac y erapy

e) External beam IMRT + HDR boost