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47

Standard treatment for metastatic cancer

= systemic therapy…

Subset of patients with limited metastatic sites =oligometastases

= local treatment? (SBRT…)

Definition oligometastatic:

A limited number of clinically detectable

metastatic tumors where the extent of disease

exists in a transitional state between localized

and widespread systemic disease

Lo, Expert Rev Anticancer Ther. 2009

Oligometastases

Clinical indications

Hellman & Weichselbaum 1995