“…3 For synchronous OMPCa, a large prospective trial (STAM-PEDE) showed improved survival with prostate-targeted treatment in patients with low metastatic burdens. 1 Aizawa et al 4 report that the addition of metastasis-targeted treatment to prostate-targeted treatment in patients with synchronous OMPCa resulted in good, long-term, disease-free survival with acceptable complications, a finding that has not been adequately investigated. It is hoped that the results of prospective studies will confirm the usefulness of this treatment.…”