PMID- 29191358 OWN - NLM STAT- MEDLINE DCOM- 20180214 LR - 20181202 IS - 1769-6917 (Electronic) IS - 0007-4551 (Linking) VI - 105 IP - 1 DP - 2018 Jan TI - [Stereotactic body radiation therapy for oligometastatic prostate cancer]. PG - 120-125 LID - S0007-4551(17)30326-0 [pii] LID - 10.1016/j.bulcan.2017.09.017 [doi] AB - INTRODUCTION: The first line treatment of metastatic prostate cancer is medical or surgical androgen-deprivation. This treatment however has significant side effects that can affect the patients' quality of life. For oligometastatic patients, a new therapeutic approach, focusing on local treatment of metastases, is emerging. METHODS: A systematic review of studies published on Stereotactic Body Radiation Therapy (SBRT) for oligometastatic prostate cancer was performed using results from search request on MEDLINE. RESULTS: Treatment regimens vary from a single fraction of 20Gy (bone lesions) to ten fractions for a total dose of 64Gy (visceral metastases). Local control is 95.5 to 100% at 2 years with grade 1 and 2 toxicities around 10%, without any grade 3 side effects. These retrospective studies show the feasibility and very low toxicity of SBRT for this population of patients. The effect of SBRT on disease-free or global survival and quality of life has not been assessed. Several prospective trials (STOMP & ORIOLE) are underway. CONCLUSION: Treating patients with up to five prostate cancer metastases is efficient and has a low toxicity. Prospective trials should identify which patients, if any, really benefit from this approach. CI - Copyright (c) 2017 Societe Francaise du Cancer. Published by Elsevier Masson SAS. All rights reserved. FAU - Bibault, Jean-Emmanuel AU - Bibault JE AD - Universite Paris Descartes, Sorbonne Paris Cite, hopital Europeen Georges Pompidou, service d'oncologie radiotherapie, 20, rue Leblanc, 75015 Paris, France. Electronic address: jean-emmanuel.bibault@aphp.fr. LA - fre PT - Journal Article PT - Review PT - Systematic Review TT - Role de la radiotherapie en conditions stereotaxiques dans la prise en charge des patients atteints d'un cancer de prostate oligometastatique. DEP - 20171127 PL - France TA - Bull Cancer JT - Bulletin du cancer JID - 0072416 SB - IM MH - Humans MH - Male MH - Prostatic Neoplasms/*pathology/*radiotherapy MH - Radiosurgery/*methods OTO - NOTNLM OT - Cancer de prostate OT - Oligometastatic OT - Oligometastatique OT - Prostate cancer OT - Radiotherapie en conditions stereotaxiques OT - Stereotactic body radiation therapy EDAT- 2017/12/02 06:00 MHDA- 2018/02/15 06:00 CRDT- 2017/12/02 06:00 PHST- 2017/08/09 00:00 [received] PHST- 2017/09/05 00:00 [revised] PHST- 2017/09/07 00:00 [accepted] PHST- 2017/12/02 06:00 [pubmed] PHST- 2018/02/15 06:00 [medline] PHST- 2017/12/02 06:00 [entrez] AID - S0007-4551(17)30326-0 [pii] AID - 10.1016/j.bulcan.2017.09.017 [doi] PST - ppublish SO - Bull Cancer. 2018 Jan;105(1):120-125. doi: 10.1016/j.bulcan.2017.09.017. Epub 2017 Nov 27.