62/Male,
Pretreatment PSA=160,
Metastatic work up negative.
Biopsy: Gleason 7(3+4), 6/6 cores.
Neo adjuvant hormones followed by Radical Retropubic prostatectomy+PLND
Final Path: Gleason 7 (3+4), margin postive, extra prostatic extension=present, positive LVI, seminalvesical invasion (pT3b), 1/9 plevic lymp node postive (pN1).
What should be the treatment now? Hormones for sure. Is there any role of radiation, if yes prostate bed alone or pelvic+prostate bed ?