Would you consider a definitive or only palliative approach to an oligometastatic prostate patient after prostatectomy with persistent PSA elevation in the 4-5 range, residual involved pelvic nodes, and residual tumor in the prostate bed?
Specifically, if after Axumin and MRI all known disease is limited to the pelvis (prostate bed, pelvic nodes nodes, 1-3 pelvic bone mets), is it reasonable to treat the prostate bed (and residual tumor), pelvic nodes, and pelvic bone mets with curative intent? What if oligomets were outside the pelvis?