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Diagnosis: Stage IV Prostate Cancer (cT1cN1M0)

Treatment: Hormonal Therapy + Radiation Therapy

Hormonal therapy:

- Neoadjuvant and Adjuvant Androgen deprivation therapy.

Radiation Therapy Dose Prescription:

- PTV (prostate gland+5mm margin): 65 Gy at 2.32 Gy/fraction

- Seminal vesicles: 60 Gy at 2.14 Gy/fraction

- Enlarged left obturator and right internal iliac lymph nodes,

60 Gy at 2.14 Gy/fraction

- Pelvic lymph nodes , 50 Gy at 1.78 Gy/fraction