Keeping faith said...
As a person with asymptomatic METS, I am on continuous HT. Until one becomes refractory (PSA rising despite HT) that is likely to be the recommended treatment. I think the drugs and the surgery effectively achieve the same result, so its a matter of personal preference
Pretty much my situation too. On ADT and Xgeva for bone loss for 24 months if I can remain refractory that long.
So far, no surgery nor radiaiton nor chemo, just Lupron every 4 months and Xgeva monthly.
In theory the prostate and bone mets are shrinking but I have not had the prostate size measured since I went onto Lupron March 28th.
The second bone scan showed improvement over the first, and the MRI to spine showed that the glow on bone scan at T7&T8 was benign and remnants from a prior herniated disc with spinal compression. Still have so-called mild bone mets at T4 & T9 plus MRI to pelvic area showed what radiation oncologist referred to as classic prostate cancer metastatic to bone.
I have no symptoms and would pursue spot radiation if pain were to manifest itself.