The Role of Local Therapy for Oligometastatic Prostate Cancer Should We Expect a Cure?

The role of local treatment in oligometastatic prostate cancer remains contentious. Treatment of the prostate in metastatic disease may confer benefit, but prospective data are lacking. With improvements in treatments, aggressive strategies directed at metastases have increasingly become of clinical interest. Current evidence suggests that good local control can be achieved; however, further data are required to determine overall cancer outcomes. This article evaluates the evidence available and considers whether local treatment of oligometastatic disease is a feasible, safe, and positive strategy in this disease cohort. Cure should not be expected, although prolonged disease and treatment-free survival may be observed.