National Danish Protocol. Surgery+ SBRT for M1 Prostate Cancer Patients

This Danish study tests a combined approach for prostate cancer patients who have a small number of bone metastases (cancer that has spread to the bones). Instead of just treating the prostate, the study adds a precise radiation technique (called SBRT — stereotactic body radiotherapy) to also target the metastatic spots, along with surgical removal of the prostate. **You may be eligible if...** - You are 18 or older - You have prostate cancer that has spread to no more than 3 bones (in the spine, pelvis, or limb bones) - The cancer has NOT spread to lymph nodes outside the pelvis or to organs - Your metastases are suitable for SBRT and are not causing symptoms - You are fit enough for surgery **You may NOT be eligible if...** - You have had any prior treatment for prostate cancer - You have been on hormone therapy (ADT) before - You have had another cancer in the past 3 years - Your overall health is poor (ECOG performance status above 1) - You cannot have an MRI scan Talk to your doctor to see if this trial is right for you.