Osteoporosis in Elderly Men

CASE PRESENTATION
A 66-year-old male had a routine physical examination. He had a moderately enlarged benign prostate gland. The prostate-specific antigen (PSA) was 7.7, and the ratio of free/total PSA was 9% (normal > 25%). A prostate biopsy revealed multiple cores of adenocarcinoma of the prostate, Gleason score 3 + 4. He was treated with I-125 brachytherapy plus 20 Gy of external beam therapy to the periprostatic tissue, and the PSA nadir was 0.7 ng/mL 6 months after the radiation therapy. However, 6 months later the PSA increased to2.7, and repeat PSA testing demonstrated progr...