What is your preferred management for a patient aged 66
years presenting with a PSA of 13.6, Gleason score 4+3
prostate cancer which is stage T2B on MR staging? He has
no significant co-morbidities
a) Radical prostatectomy
b) Active surveillance
c) External beam IMRT to 78Gy
d) LDR seed brachytherapy
e) External beam IMRT + HDR boost