Facharzt FMH Urologie Practice Questions - Facharzt FMH Für Urologie Spécialiste FMH En Urologie Exam

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A 62-year-old man underwent radical prostatectomy for pT3a pN0 R1 prostate adenocarcinoma 18 months ago. His post-operative PSA nadir was < 0.01 ng/mL. On routine follow-up, his PSA is measured at 0.22 ng/mL and confirmed at 0.26 ng/mL 6 weeks later. PSMA-PET/CT shows no evidence of distant visceral or bone metastasis. What is the definition of this condition and the recommended initial management?

Castration-resistant progression; initiate enzalutamide monotherapy immediately Benign anastomotic PSA leak; reassure the patient and repeat PSA in 12 months Systemic failure; perform surgical resection of retroperitoneal lymph nodes Biochemical recurrence post-prostatectomy; initiate early salvage radiotherapy to the prostatic bed

Correct Answer:

Biochemical recurrence post-prostatectomy; initiate early salvage radiotherapy to the prostatic bed

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