Accurate identification of candidates for active surveillance (or just “deferred” therapy)

Who is really a candidate for active surveillance (AS) as opposed to early treatment for prostate cancer that is supposedly localized is not yet well-defined. Indeed, it may not even be possible to come up with any “absolute” guidelines for eligibility for AS based on the diagnostic and prognostic tools we have at this time.

The LHRH “flare” reaction: do we really know what we thought we knew?

While it has never been categorically proven that adding an oral antiandrogen like flutamide or bicalutamide (Casodex) to injections of LHRH agonists (e.g., leuprolide actetate) improves overall patient survival, there had been little doubt in people’s minds that giving an antiandrogen for a week or two before a first LHRH agonist injection prevented the problem [...]

Cancer development and the cellular environment

For the serious student of the biological sciences, the idea that the immediate, internal, biological environment can profoundly impact the ability of any type of cell to grow and evolve is hardly new.

The monoclonal antibody F77 and media “over-hype”

“Found, the super molecule to kill prostate cancer cells,” trumpeted the MailOnline. And worse still, “A miracle molecule has been discovered that offers the hope of saving men with currently incurable prostate cancer,” screamed the Press Association.

Gat’s hypothesis for the cause of most prostate cancers

Nearly 3 months ago, we reported on the publication of a paper by Gat et al. that describes a completely normal way by which very high levels of testosterone could “flood” through the prostate and potentially stimulate the development of prostate cancer.

PET scanning and prostate cancer management today

The role of positron emission tomography or PET scanning in the work-up and management of prostate cancer patients is evolving.

Comparative effectiveness of new treatments for early stage prostate cancer

As initially reported in The Gray Sheet, an advisory committee to the US Food and Drug Administration (FDA) has suggested that new forms of device-based treatment for organ-confined prostate cancer should have to demonstrate effectiveness and safety in randomized clinical trials compared to active surveillance.

Worth a quick read

There are some things most doctors just don’t learn in medical school … they just have to have the personal experience. Dr. Staren’s story in the Chicago Sun-Times yesterday is an example (albeit not prostate cancer-specific).

Yet another new way to treat early stage prostate cancer?

They haven’t tried this on an actual patient yet (or at least, if they have, it hasn’t been reported) but a group at the University of Washington in Seattle is investigating the potential of low-dose, alternating electric current as a possible treatment for early stage prostate cancer.

More on obesity and prostate cancer risk

Some prior studies have suggested a relationship between obesity and adverse pathologic features on prostate biopsy and have suggested that obese patients may be at higher risk for prostate cancer-related death after radical prostatectomy. However, other studies have been unable to demonstrate any relationship between obesity and clinical risks from prostate cancer.

Help to optimize a major new patient-oriented data monitoring system

Prostate Cancer International has been invited to work with a consortium of major prostate cancer centers to get patient feedback on a national, development-stage data monitoring system that will allow prostate cancer patients to track their data over time and compare their outcomes to those of other similar patients. Please help us by giving us your [...]

Prostate cancer news update: Tuesday, December 22, 2009

There are three fairly significant news reports today dealing with the following issues: The relationship between a family history of prostate cancer and age at diagnosis The impact of RALP on selection of surgery as a first-line treatment option The management of ADT-related hot flashes

Teva acquires development rights to OGX-011

In a somewhat surprising announcement, Teva Pharmaceuticals — best known as the world’s largest manufacturer and marketer of generic drugs — has acquired the global development and marketing rights to OGX-011 from OncoGenex.

Johns Hopkins throws (some) cold water on possible use of PCA3 test

It has been hoped (at least by some) that a possible use of the prostate cancer gene 3 or PCA3 test — approved in parts of Europe but still in clinical trials in the US – would be as a better tool than PSA tests and annual biopsies to monitor patients on expectant management (active surveillance).

A little snow for the holidays

In honor of the 18 inches of snow (or so) yesterday in Philadelphia and other parts of the the East Coast, we have turned the “snow” back on for the holidays (but only through January 4). Enjoy … or come and help your sitemaster dig out!

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