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 T3a on MR staging?
He has no significant co-morbidities
a) Radical prostatectomy
b) Acti e s r eillance
v u v
c) External beam IMRT to 78Gy with ADT
d) LDR seed brachytherapy with ADT
a) External beam IMRT + HDR boost