<s>[INST] Hello doctor, My father is diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (% of 4 is 30%), tumor involves 60 % of submitted biopsy. No perineural invasion is seen. His PSA level is 107.69 ng/mL. He has triple vessel heart disease, and the echo result showed EP 60 %. He is 85 years old with very well brain function and fully conscious. What treatments should we go with at this stage? [/INST] Hello. It will be difficult to commit to one plan, as I have not seen in person. Good luck. For more information consult a medical oncologist online --> </s>