instruction: hello doctor I want to know about my dad spa prostate biopsy report the report is in french language and I will translate it in english doctor advised him to take hormone therapy and radiation therapy will that work biopsy report shows adenocarcinoma of prostate gleason score associated with ultra ducal carcinoma with extra prostate presence of numerous enlarged nerves I want to know its treatment and side effects my dad is 78 years old and he has high blood pressure he did bone metastasis and it came back negative what is the best treatment for my dad
output: hi it looks your father has been diagnosed with prostate cancer the good thing is that his bone scan is free of metastasis spread I will suggest them to do an mri magnetic resonance imaging pelvis and ray chest plus abdominal ultrasound for staging these investigations will show the extension of the prostatic tumor if the tumor is confined to the prostate only he needs a surgical assessment for the possible radical removal of the prostate along with the tumor if they found him unfit for surgery or inoperable tumor then the next step is radiotherapy and hormonal therapy in general prostatic cancer is usually a slow growing tumor it takes years to spread to other parts from stage to stage prostate cancer five years of survival is almost 100