Final Answer:
As an oncologist, when a patient presents with advanced prostate cancer and you follow the standard protocol, you should:
- Obtain tissue diagnosis from the primary tumor or site of metastases when clinically feasible.
- Discuss treatment options with the patient based on life expectancy, comorbidities, preferences, and tumor characteristics.
- Consider a multidisciplinary approach to patient care when available.
- Treat the patient with advanced prostate cancer using a combination of therapies, such as androgen deprivation therapy (ADT), radiation therapy, and possibly chemotherapy.
Step-by-step explanation:
Treatment of advanced prostate cancer typically involves a combination of approaches. For elderly patients with slow-growing cancer, active surveillance is often employed to monitor the cancer without immediate treatment. In younger patients or those with aggressive tumors, treatment may include surgery to remove the prostate, chemotherapy, and/or radiation therapy. It's important for patients to discuss the risks and benefits of these treatments with their healthcare provider to determine the best course of action for their specific case.