From: Oligometastases in prostate cancer: restaging stage IV cancers and new radiotherapy options
Author | Year of publication | Type of lesions | Treatment received | Results |
---|---|---|---|---|
Casamassine et al [84]. | 2011 | 71 patients: | No ADT | - 13 persistent regression |
- 28 post-prostatectomy | ||||
- 15 post-radiotherapy | - 2 bone metastases | |||
- 28 post-prostatectomy and radiotherapy | - 8 lymph node recurrences (outside the irradiated áreas) | |||
Muacevic et al. [58]. | 2011 | 64 bone metastases | -19 ADT | 95% local control |
- Mean dose 20,2 Gy (range 16,6-22 Gy) | ||||
- 8 patients chemotherapy | ||||
Würschmidt et al. [83]. | 2011 | 26 patients | Mean dose 75,6 Gy (primary site) and 66,6 Gy (lymph node sites) | - Overall survival at 28 m: 94% |
- Biochemical relapse free survival (primary site): 83%; 49% (recurrences) | ||||
- Distant free survival 100% (primary site) and 75% (recurrent) | ||||
Ahmed et al. [89]. | 2013 | 17 patients (21 lesions) | Mean dose 20 Gy in 1 to 3 fractions | - Local control rates 100% |
- 2-5 year progresión-free survival 20% | ||||
Berkovic et al. [87]. | 2012 | 24 patients with biochemical relapse after initial treatment | - SBRT 50 Gy in 10 fractions | - 100% 2-year local control |
- None ADT | ||||
-Progr. free survival at 2 years 42% | ||||
- ADT: median survival free 38 months | ||||
Jereczek-Fossa et al. [85]. | 2012 | 34 re-irradiated patients: 15 local relapse, 4 anastomosis, 16 nodal and | 23 Gy in 3 fractions in lymph node metastases and 36 Gy in 3 fractions in bone. | - 32 biochemical response |
- 4 PSA stabilization | ||||
3 distant metastases (2 retroperitoneal, 1 bone) | - 2 PSA progression | |||
- 17 disease progression | ||||
- Progression free survival at 30 m: 42,6%. | ||||
Shick et al. [82]. | 2013 | 22 oligometastasic patients (55% one lesión) | 55% ADT + EBRT (65 Gy) | - Biochemical relapse-free survival at 3 y: 63% |
- Overall survival 89% | ||||
Picchio et al. [45]. | 2014 | 83 patients biochemical recurrence after radical primary treatment | No ADT | - 66 patients complete biochemical response |
- 12 partial biochemical response | ||||
- 1 stable disease | ||||
- 15 progression disease |