I'm at the other end of the spectrum because my PC wasn't discovered until stage 4, when it had already metastasised to my spine. In the past, the treatment emphasis for stage 4 was always palliative (minimal intervention, manage pain, help quality of life), but recently there's been a push to treat oligometastatic cancers (< 4–5 metastatses) with curative rather than palliative intent. My onco team was already on top of that — thankfully, my city's cancer centre is associated with a research university, and is on top of the latest thinking — but once I understood what was happening, I encouraged it. I requested and received a full curative-intent dose of radiation (SBRT) to my prostate, knowing that it might cause complications, because I'm relatively young (56 at diagnosis; 58 now) and wanted to give myself the best chance possible. In the end, I did experience benign radiation damage to the bottom of my bladder, and it's been a bit of a challenge pain and lifestyle-wise, but my quality of life is good and I have no regrets about going for the max treatment in my particular case. Even if it doesn't work out, my family will know that I left no reasonable stone unturned.