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PSMA-PET Staging — SCE Medical Oncology MCQ

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HardUrological CancersPSMA-PET StagingSCE Medical Oncology

A patient has metastatic castration-resistant prostate cancer with a pathogenic BRCA2 alteration and radiographic progression after enzalutamide. He is not currently in visceral crisis. Which biomarker-directed monotherapy is recommended by NICE TA887?

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Correct answer: EOlaparib monotherapy after enzalutamide progression

Option E is correct: TA887 recommends olaparib after progression on a newer hormonal treatment in BRCA1/2-mutated metastatic castration-resistant disease. Option A offers sequential androgen-receptor targeting. Option D would require a different biomarker context. Option C is not the TA887 treatment, and option B is not selected by BRCA2 status.

Reference: NICE TA887: olaparib in BRCA-positive metastatic prostate cancer. https://www.nice.org.uk/guidance/ta887/chapter/1-Recommendations