Going on 14 years after first diagnosed with prostatic adenocarcinoma in 2011. 9 biopsies out of 12 malignant. Elevated PSA 6.4 Gleason score 7(4+3). Since then 2 radiation treatments, ADT continues, chemotherapy (dam near killed me)and 3 PSMA PET /CT w/PLY injection. Present day status : 24 Mets (mestaasis malignant prostate cancer on the bone) located on skeleton only (skull, spine, ribs, hip and upper femor). All smaller than a small sweet pea. I am 83 years old with No pain, side effects or urinary problem - PSA 5.24 . On wait and watch protocol recommend by oncology team. I am not sure available treatments would be worth the pain and suffering, will have to wait and see.