Review Article

A Comprehensive Review of Contemporary Role of Local Treatment of the Primary Tumor and/or the Metastases in Metastatic Prostate Cancer

Table 1

Stereotactic body radiotherapy for oligometastatic prostate cancer.

AuthorYearNumber of patients (number of lesions) DosePrimary siteTreated site (s)Local controlToxicityRemarks

Greco et al. [70] 2011103 (126)18–24 Gy in 1 fraction (SBRT)Prostate, renal, and colorectalBone, LN, and soft tissue64% (82% if >22 Gy, 25% for 18–20 Gy) at 2 years <4% grade 3 (stricture, neuritis)

Jereczek-Fossa et al. [71]200914 (14)30 Gy in 3 fractions (Linac-CyberKnife)Prostate Pelvic LN100% at 18.6 monthsNo grade 3 or higher

Casamassima et al. [73]201125 (25)30 Gy in 3 fractionsProstateProstate, Pelvic LN, para-aortic LN, and mediastinal LN90% at 3 yearsNo grade 2 or higher DFS 17% at 3 years

Jereczek-Fossa et al. [72] 201234 (38)30 Gy in 5 fractions to 36 Gy in 3 fractions (CyberKnife)ProstateLN and bone88% at 16.9 months6% grade 3 urinary and 3% grade 3 rectalAll toxicities seen in prostate recurrence patients

Muacevic et al. [74] 201340 (64)20 Gy in 1 fraction (SBRT)ProstateBone95.5% at 2 yearsNo grade 3 or higher

Berkovic et al. [75] 201324 (29)50 Gy in 10 fractions (repeated SBRT)ProstateBone or LN100% at 2 yearsNo grade 3 or higher DFS of 42% at 2 years

Ahmed et al. [77]201317 (21)20 Gy in 1 fraction (SBRT)ProstateBone, LN, and liver100% at 4.8 monthsNo grade 3 or higher

Schick et al. [64]201350 (50)64 Gy (EBRT)ProstateBone, LN, and visceralNo grade 3 or higherBRFS, CFFS, OS of 54.5%, 58.6%, and 92%, respectively

Decaestecker et al. [76]201450 (70)50 Gy in 10 fractions or 30 Gy in 3 fractions (repeated SBRT)ProstateBone and LN100% at 2 yearsGrade 1 (14%)
Grade 2 (6%)
ADT-FS median 25 months

LN: lymph node; SBRT: stereotactic body radiotherapy; BRFS: biochemical recurrence free survival; CFFS: clinical failure free survival; OS: overall survival; ADT-FS: androgen deprivation therapy free survival; DFS: disease free survival.