It is difficult to give a “fixed” treatment regime for Stage 4 as the cancer is now widespread.
However, for early Stage 4 the likely treatment will be the same as for Stage 3, but followed by some Chemotherapy whose function is to deal with the metastases. As an alternative, there is now some use of Lutetium – Theranostics, and this latter, as it targets the metastases directly, is likely to become a common treatment of choice.
There are times, also, when External Beam Radiotherapy, EBRT, is used on, particularly, bony metastases.
At this stage you should be fully guided by your consultants.
Alex and Dr Scholz discuss patients who have lived for over 20 years in Stage 4.