Metastatic Prostate Cancer: Where do I go from here?

Similar Stage 4 castrate sensitive in L2 was radiated and back on Zolodex Then 2 years later PSA 1.2 goes to 6.6 New PET and CT scans show slight uptake in left hip socket and T10 T 11 and L1 or L2 not sure as I have 6 Lumbar Si I nay be now castrate resistive metastatic pc.

In Jan plan is Enzalutamide to be added 4 pills a day 13K for 90 covered by government health care over 65 I am 78 with 6 years since 40 radiations on prostate

Pray Never a cure only control they say

Consider discussing Lu 177 - Pluvicto with your oncologist.

They say its held for those who have tried everything else More palliative?? ??

https://www.ottawahospital.on.ca/en/xofigo-radium-223-therapy/

Approximately 80 percent to 85 percent of all prostate cancers are detected in the local or regional stages, which represent stages I, II and III. Many men diagnosed and treated at the local or regional stages will be disease-free after five years. So nothing to worry much about it stay positive always.

5 years since radiation 40 timers PC mediatized to my L2 lumbar which I had radiated. 2 years since that its showing up in T 10 L1 and hip This is all regional I thought or at least local
My oncologists says I have stage 4 castrater resistant now
Is that so

I have been back on Zolodex PSA 6 and testosterone zero

he want me on Enzalutamide in Jan 23rd

I have a family history of prostate cancer (grandfather, father, brother) so I have been very diligent in getting my PSA checked annually. Last check, PSA had more than doubled from 1.4 to 3.6 in a year. Still in normal range for a 71 year old. Because of my family history my urologist recommended an MRI on 12/29 which showed PI-RADS Category 5 with several lesions in the bones of my pelvis. Next, a CAT Scan which showed no evidence of cancer (?), next a bone scan that confirmed the MRI results, next a biopsy that resulted in a Gleason score of 8 and Stage 4 cancer, finally a PET scan that confirmed cancer in prostate, 3 locations on my pelvic bones and sacrum, one lymph node, and nowhere else. Started on Casodex immediately after MRI, scheduled to start Lupron next week, started Zytiga 3 days ago. Radiology oncologist has scheduled 5 weeks of radiation to my prostate starting in April followed by local radiation of the lesions and lymph node after the ADT has taken effect. The PET scan indicated clear targets for radiation and both my oncologist and radiology oncologist are optimistic. Should I be?