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Abstract Background We evaluated patient‐reported outcomes (PRO) during neoadjuvant androgen deprivation therapy (ADT) plus external beam radiation therapy (EBRT) followed by either adjuvant continuous ADT (CADT) or intermittent ADT (IADT) for patients with locally advanced prostate cancer (Pca). Methods A multicenter, randomized phase III trial enrolled 303 patients with locally advanced Pca. The patients were treated with 6 months (M) of ADT followed by 72 Gy of EBRT, and were randomly assigned to CADT or IADT after 14 M. The PROs were evaluated at sic points: baseline, 6 M, 8 M, 14 M, 20 M, and 38 M using FACT‐P questionnaires and EPIC urinary, bowel, and sexual bother subscales. Results The FACT‐P total scores were significantly better (p

Introduction We report the case of a patient with metastatic castration‐resistant prostate cancer with microsatellite instability‐high who was treated with pembrolizumab after cabazitaxel administration. Case presentation A 58‐year‐old patient with heavily pretreated metastatic castration‐resistant prostate cancer, whose prostate surgical specimen was disclosed as microsatellite instability‐high, underwent pembrolizumab therapy. After initiation of pembrolizumab, his prostate‐specific antigen level decreased, imaging findings showed good response with lymph node shrinkage, and his walking difficulty decreased dramatically. Conclusion The rarity of microsatellite instability‐high tumor in castration‐resistant prostate cancer may hamper pembrolizumab administration. This potentially active agent should be considered as part of a treatment regimen for patients with microsatellite instability‐high castration‐resistant prostate cancer. To the best of our knowledge, this is the first report of a Japanese castration‐resistant prostate cancer patient who demonstrated clinical benefit from pembrolizumab treatment.