This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
[{'content': '78 year old male, known case of prostate cancer with multiple painful veebral metastasis. Ideal management plan would be - \nSelect and explain. \nA. Androgen ablation with Orchidectomy, B. Palliative Chemotherapy, C. Radical prostatectomy, D. TURP', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Answer- A. Androgen ablation with Orchidectomy Only Palliative t/t is the optionl) Androgen Ablation is the first line therapyIt can be achieved by-Orchiectomy orDrugs (medical castration)2) Palliative Radiotherapy', 'role': 'assistant'}]