BCR was seen at 8 months post-operatively and a repeat PET scan at 20 months (with PSA 0.9 ng/mL) showed multiple PSMA-avid pelvic lymph nodes, including in the right internal iliac region where lymph node metastases were seen on the initial staging scan. The gene discussed is BCR; the disease is metastatic malignant neoplasm in the lymph nodes.