@kenshabby ❝How did it get so advanced?❞

I suspect my situation was similar to yours and Mr Adams' — my PSA was nearly 68 and the cancer had spread to my spine before I had a clue that I might have any cancer, much less prostate cancer (I was only 56 at the time). The doctors told me that a small minority of prostate cancer cases are like that — they srart young and metastasise almost immediately. That's probably the kind that killed people like Frank Zappa, Johnny Ramone, and Bill Bixby young.

Fortunately, these days, even de-novo advanced prostate cancer is often manageable long term with new meds and treatment strategies, if you get in early and treat it aggressively. That wasn't the case 5–10 years ago, but we have real hope today that they didn't have.