Brachytherapy outcomes for Gleason 7 patients by primary grade

A new article from a group in the UK suggests that there is no difference in outcomes between patients with localized disease and with Gleason scores of 4 + 3 = 7 or 3 + 4 = 7 when their PSA is ≤ 10 and they are treated with iodine-125-based, permanent seed brachytherapy.

Timing of salvage hormone therapy when radiotherapy has failed

The question of when one should initiate hormone therapy in a man who has a rising PSA after radiation therapy has long been a topic of controversy. And a reanalysis of data from RTOG 85-31 has not helped to give us a definitive answer.

Why Ki-67 may not be USEFUL in predicting aggressive prostate cancer

A paper to be presented on Sunday at the upcoming annual meeting of the American Association for Cancer Research suggests that “the proliferative index as assessed by Ki-67 immunoreactivity is an independent predictor of aggressive prostate cancer.”

ALL prostate cancer patients are at increased risk for blood clots!

A new epidemiological study from Sweden has suggested that all prostate cancer patients may be at slightly increased risk for thromboembolism (blood clots) compared to men in the general population, but the risk is greatest for men receiving hormone therapies.

PCF to hold briefing on prostate cancer screening

The Prostate Cancer Foundation is to hold a roundtable discussion on the screening controversy on Tuesday, April 20, on Capitol Hill in Washington, DC.

International recommendations on treatment of “older” men

A Prostate Cancer Task Force of the International Society of Geriatric Oncology (SIOG) has just issued new recommendations on the management of prostate cancer in “older men” (by which the task force means men of more than 70 years of age).

HIFU as salvage therapy for radiation failure

One of the proposed uses for high-intensity focused ultrasound (HIFU)  has been as a treatment option for men with a rising PSA after first-line treatment with external beam radiation therapy (EBRT).

Another new vaccine starts Phase I clinical trials

We have heard that another investigational vaccine therapy has started Phase I clinical trials that will include patients with advanced prostate cancer who “have failed at least 1 course of an accepted hormonal therapy.”

An update on vitamins and “nutraceuticals” in prostate cancer

The desire to find vitamins and foods and similar products (“nutraceuticals” as compared to pharmaceuticals) that have significant and measurable clinical impact on the prevention and/or the actual treatment of prostate cancer has been a constant over the past 20+ years.

Age, race, interval between tests, and risk for prostate cancer

Unsurprisingly, the longer a man older than 65 years goes between PSA tests, the greater is the likelihood that he will be diagnosed with clinically significant prostate cancer that has escaped from the prostate (especially if he has never had a PSA test until he became Medicare eligiible).

Prostate cancer testing causes psychological stress in men in UK … Well, maybe (or maybe not)

Based on data from a study published recently in the British Journal of Cancer, media reports have suggested that men in the UK who undergo testing to detect prostate cancer suffer from significant psychological stress.

Of statins, NSAIDs, and “all-cause” mortality in prostate cancer patients

There have been a lot of data published on the potential implications of long-term use of statins (e.g., simvastatin/Zocor and atorvastatin/Lipitor) and non-steroidal antianflammmatory drugs (NSAIDs, e.g.,  aspirin and ibuprofen) in prevention and management of prostate cancer. But what we are really sure of at the moment is limited.

When it comes to epigenetics, keep your optimism under control

If you’ve been hoping that research in the field of epigenetics is going to bring us a cure for prostate cancer in the next few years, dream on!

The continuing search for impactful chemotherapies in HRPC

In March this year it was announced that the combination of bevacizumab (Avastin) with docetaxel and prednisone had no benficial impact (in a large Phase III trial) on the overall survival of men with hormone-refractory prostate cancer (HRPC) compared to docetaxel + prednisone alone. There are, naturally, hopes that the outcome might be different if one adds [...]

Transparency and the US health care system

If you’ve recently noticed a 430+ percent increase in your bill for a single shot of leuprolide acetate (to more than $11,000), just click here for the explanation. Oh, sorry, no one can actually give you a coherent explanation (well, not if you got treated at a specific facility in Scottsdale, AZ).

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