Diagnosed one year ago, age 44, presenting symptoms of bleeding gums and hematuria (cancer invasion of bone marrow).. Labs indicated pancytopenia and PSA of >2700. Retroperineal lymph node biopsy showed adenocarcinoma pca, so no Gleason score. "Too many to count" bone mets throughout skeleton on PET scan. Started with and continue with Lupron. Have tried taxotere (didn't work), Provenge and Xtandi. On to Xofigo if PSA still not decreasing on Xtandi. Minimal pain for past year and still very active. PSA nadir of 12 in October, now 32. Two very young kids at home.