Robert Reiter presented the definitions and concepts of oligometastatic prostate cancer at the Advanced Prostate Cancer Consensus Conference (APCCC 2019). With improved imaging, this definition has become important from a terminology and treatment standpoint. Dr. Reiter highlights several potential pathways of oligometastasis from the primary tumor and highlights two important clinical questions relevant to clinical trials in oligometastatic disease: For synchronous disease, does “local” treatment of all visualized disease impact patient or disease-related outcomes? and second, for metachronous or progressive disease, does metastasis directed therapy impact patient or disease-related outcomes?
Robert E. Reiter, MD, MBA, the Bing Professor of Urologic Oncology and Director of UCLA’s prostate cancer program, Director of Urologic Research, Co-Director of the Genitourinary Oncology Program in UCLA’s Jonsson Cancer Center, Principal Investigator on UCLA’s Prostate Cancer SPORE, a 12 million dollar federal grant that is focused on translational research in prostate cancer, UCLA Center for Health Sciences, Los Angeles, California USA