ADT + ARPI mHSPC, mCRPC progressive on DOC.
4 years ago
RT + 6 mo ADT for cT2 ISUP grade 3 (GS 4+3) PCa
PSA: 21 ng/ml
6 months after RT
- PSA nadir 0.7 ng/ml
- Lost to FU
2 years after RT
- PSA: 29 ng/ml
- Bone & CT scan: high burden bone lesions
- Tx with ADT+ENZA (PSA ↓ 0.3 ng/ml)
1.5 years after start ADT+ENZA
- Progression in pelvic/retroperitoneal LNs
- PSA: 43 ng/ml, T: 17 ng/dl (0.59 nmol/l)
- DOC for 1st-line mCRPC