Repeat cycles of treatment with docetaxel are not recommended if the disease recurs after completion of the planned course of chemotherapy15 . A corticosteroid such as dexamethasone ( mg daily) daily is recommended as third-line hor- monal therapy after androgen withdrawal and anti-androgen therapy for men with hormone- refractory prostate cancer. Men with hormone-refractory prostate cancer shown to have extensive metastases in the spine (for example, on a bone scan) should have spinal MRI if they develop any spinal related symptoms. The routine use of spinal MRI for all men with hormone-refractory prostate cancer and.