Question

A 72-year-old man presents with lower urinary tract symptoms and an elevated PSA of 20 ng/mL. Biopsy confirms prostate adenocarcinoma. According to NICE, which treatment might be considered for locally advanced disease (T3)?

Accepted Answer

Radical prostatectomy plus pelvic lymph node dissection

Answer

Active surveillance only

Answer

Radiotherapy to spine

Answer

Anti-androgen monotherapy alone

Answer

Palliative chemotherapy as first-line

Practice question

A 72-year-old man presents with lower urinary tract symptoms and an elevated PSA of 20 ng/mL. Biopsy confirms prostate adenocarcinoma. According to NICE, which treatment might be considered for locally advanced disease (T3)?