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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