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
A 60 year old man with CA prostate with osteoblastic secondaries in pelvis and lumbar
vertebra showed well differentiated Adenocarcinoma prostate on needle biopsy. First line of
treatment is 
Select and explain. 
A. Proscavax vaccine, B. TURP, C. Radical prostatectomy, D. Harmonal ablation
D: Harmonal ablation
Answer: D: Harmonal ablation 
Explanation: Metastatic disease is treated by harmonal ablation.