How do you handle risk stratifying and radiation treatment in a patient with concurrent MRI diagnosed asymptomatic prostatitis and prostate cancer diagnosis?

My concern, in this case, is that whatever has been uncovered by the MRI might be artificially elevating the PSA, which might result in erroneously classifying the patient into a higher risk category, leading to more treatment than is necessary. Personally, I have never seen a clinically significant...

I don’t recall encountering this situation. If described by the diagnostic radiologist and is symptomatic, antibiotics for a month and repeat the MR and PSA. I don’t think that they would likely change. That said, I’m often wrong!

I would stage the patient per usual based on Gleason Score and staging workup and plan on treatment accordingly. I would also try to identify the cause of prostatitis since if the patient desires radiation treatment, my experience has been that these patients have more bothersome voiding symptoms. M...