How would you treat a patient with a solitary prostate cancer metastases in the mandible?
Would you consider SBRT and if so what dose/fractionation would you use if the lesion was in the head of the mandibula?
If not would you give a fractionated radiotherapy and what dosage would you aim for.
Is there a role for surgery?
Answer from: Radiation Oncologist at Academic Institution
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...
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Answer from: Radiation Oncologist at Academic Institution
I agree with @Mitchell S. Anscher's wise opinion. However, since this is the ONLY detectable metastasis (at this time), I favor a higher fractionated RT dose, around 4500 cGy.