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Achieving ultra-low PSA levels with ADT plus ARPI improves mHSPC outcomes in a patient with comorbidities
11 Dec 2025
byDr. Emerson Kwan-Ho Leung, Specialist in Clinical Oncology, Hong Kong
A 70-year-old male was diagnosed with prostate cancer (PC) after presenting with increased urinary frequency and an elevated prostate-specific antigen (PSA) level of 71 ng/mL in October 2022. (Figure) MRI revealed a 3 cm left prostatic lesion without pelvic lymph node involvement or bone metastases, with possible extraÂprostatic extension and seminal vesicle invasion. Transperineal ultrasound-guided prostate biopsy confirmed prostatic adeÂnocarcinoma in 8 out of 12 cores, with a Gleason score of 4 + 3.







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