Adjuvant Radiation Therapy for Patients with High-Risk Pathology at Prostatectomy

A 64-year-old man with history of elevated PSA (8.5 ng/mL) and previous negative prostate biopsies underwent multiparametric prostate magnetic resonance imaging (MRI). PIRADS 4 and 5 lesions were identified in the transitional and peripheral zones with the latter lesion exhibiting evidence of extracapsular extension. A 12-core template biopsy with additional MRI/ultrasound targeting of lesions identified on MRI demonstrated large-volume Gleason ...