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
78 year old male, known case of prostate cancer with multiple painful veebral metastasis. Ideal management plan would be - 
Select and explain. 
A. Androgen ablation with Orchidectomy, B. Palliative Chemotherapy, C. Radical prostatectomy, D. TURP
A: Androgen ablation with Orchidectomy
Answer: A: Androgen ablation with Orchidectomy 
Explanation: 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