Chemotherapy of Hormone Refractory Disease

By prostate Doc at 23 September, 2008, 7:43 pm

Historically, hormone refractory prostate cancer has been viewed as a condition minimally responsive to cytotoxic agents. This view is largely based on data generated before the mid-1990s using single agents or combinations of drugs. Doxorubicin, cyclophosphamide, vinblastine, cisplatin, fluorouracil, mitoxantrone, and estramustine have all been shown to have objective response rates <15%.

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Antiandrogen Withdrawal : Prostate

By prostate Doc at 16 September, 2008, 3:55 pm

Withdrawal of antiandrogens at progression is associated with a decline in PSA and improvement in clinical symptoms in approximately 20% of patients. The median duration of response is three to five months and is seen four weeks from with- drawal of flutamide.

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Secondary Hormonal Therapies : Prostate

By prostate Doc at 16 September, 2008, 8:28 am

Despite the high initial response to hormonal therapy, virtually all patients with metastatic disease progress. The median time to progression is 16-18 months. When progression occurs, primary androgen deprivation should be maintained.

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