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Maybe someone else can expand on my comment. It was my understanding that less than 5 sites called Oligometastasis may be treated with a short course of external beam radiation in the form
of SBRT. Bone might be a preferential site but nonetheless...

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Replies to "Maybe someone else can expand on my comment. It was my understanding that less than 5..."

@thmssllvn
Yes you are correct, you can treat small cancerous lesions with some form of external beam radiation. Once that area has been maxed out with radiation you can switch to Proton beam.

@thmssllvn
If someone is Oligometastatic Then zapping the five metastasis is a good way to treat them but the primary (prostate) Also needs to be treated. Five sessions of SBRT to it could take care of it as well, Or surgery, Or IMRT, Or even HDR brachytherapy.

There are many options, but the prostate should be taken care of. They do find that in very advanced cases where the cancer is all over the body treating the prostate is not really giving much of an edge to the patient.