How would you treat a patient with a solitary prostate cancer metastases in the mandible?

This would be a very unusual situation, as metastases to the mandible generally occur late in the course of the disease. I would want to be as certain as possible that this really represents prostate cancer, and would get a biopsy. The biopsy not only would confirm the diagnosis, but also permit you...

I agree with @Dr. First Last's wise opinion. However, since this is the ONLY detectable metastasis (at this time), I favor a higher fractionated RT dose, around 4500 cGy.