A thorough clinical workup with biopsy shows that J.A. has a well-differentiated prostatic adenocarcinoma. What do the following lab data suggest?
• Alkaline phosphatase: 70 IU/L
• BUN: 18 mg/dL
• Creatinine: 0.7 mg/dL
• AST: 8 IU/L
• ALT: 15 IU/L
• Total bilirubin: 0.9 mg/dL
• Negative radionuclide bone scan
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