(UroToday.com) Case 1: 65M with first PSA of 18 ng/mL. MRI of the prostate shows T3a lesion in the right peripheral zone, and biopsy reveals Gleason 4+4 adenocarcinoma. Conventional imaging is negative for metastatic disease, but a PSMA-PET shows oligometastatic disease. Specifically, he is found to have three small osseous metastatic lesions