@vancouverislandhiker Yes, it's so different now. When I was diagnosed with stage 4 oligometastatic PCa at age 56 back in 2021, they told me to expect basically what your unfortunate dad experienced, probably based on old SEER data.

But fortunately, they still put me on the new treatment modalities (which apparently only three Canadian cancer centres were using regularly back in 2021, all in Ontario, though they're more common now).

Over four years later, I've experienced no progression at all. Nada. We're watching one spot from the last MRI, but it's probably benign, related to my spinal surgery and fusion at that location. PSA remains < 0.01.

Not everyone will be as lucky — and my own story could change suddenly any day — but it's a whole new world out there for those of us with advanced prostate cancer in 2025.