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': 'A 55 year old sexually active male with stage Tlb prostate cancer must be offered - \nSelect and explain. \nA. Radical Prostatectomy, B. Orchidectomy, C. Hormone Ablation, D. TURP', 'role': 'user'}, {'content': "Answer: A \nExplanation: Answer- A. Radical ProstatectomyTlb, Tf c &T2 diseaseManagement depends on patient's age, life expectancy, performance status, and patient's preferences.ln younger, fitter men (Watchful waiting is an option for elderly with low life expectancy (- Advanced ds (T3, T4 or any metastasis)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'}]