Is an LHRH antagonist a better first-line hormone therapy than an LHRH agonist?

The question of whether an LHRH antagonist (such as degarelix) is really a better first-line hormone therapy than an LHRH agonist (e.g., leuprolide acetate) is still not fully answered.

Combining a TKI with bicalutamide in men with CRPC

We have reported on a number of attempts to use tyrosine kinase inhibitors (TKIs) — alone or in combination with chemotherapy — in the treatment of men with castration-resistant prostate cancer (CRPC). Limited activity or efficacy has been reported to date.

Diet and prostate cancer risk: a case-control study analysis

The idea that one’s diet may affect one’s risk for prostate cancer in general — or perhaps for one’s risk of more aggressive forms of prostate cancer — is not exactly new.

Health-related QOL after salvage HIFU for recurrent, localized prostate cancer

Men with locally recurrent prostate cancer after first-line external beam radiation therapy (EBRT) have historically had three options for second-line treatment: salvage radical prostatectomy, salvage cryoablation, and salvage brachytherapy.

The new 2date4love web service

A new online dating service has been developed for people who –  for medical or other reasons — are unable to participate in sexual intercourse but still want to be able to build meaningful long-term relationships.

Galiellalactone and the inhibition of prostate cancer stem cells

A new paper just published in PLoS ONE describes a development-stage drug known as galiellalactone and how it acts to inhibit the growth of stem cell-like aldehyde dehydrogenase (LLDH)-positive prostate cancer cells.

Does lapatinib have potential in early management of progressive prostate cancer?

A recently published report of a Phase II clinical trial conducted by the Eastern Cooperative Oncology Group (ECOG) suggests that  the tyrosine kinase inhibitor (TKI) lapatinib (Tykerb) may have clinically significant effects in the treatment of men with progressive prostate cancer after first-line therapy.

New urine-based test may be able to eliminate need for biopsy in many patients

A new report giving preliminary data on the clinical performance of novel, urine-based prostate cancer assay uses a method known as prostate-specific antigen/solvent interaction analysis (PSA/SIA) to detect the ratios of different types of PSA (PSA “isoforms”) in the urine of men beleived to be at risk for prostate cancer.

Risk stratification of men with high-risk prostate cancer prior to first-line surgery

A new French study has attempted to provide a better appreciation of the effect of predictive factors on the biochemical recurrence-free and overall survival of patients with high-risk prostate cancer after a radical prostatectomy (RP).

Long-term QoL of men in the Scandinavian Prostate Cancer Group 4 clinical trial

In 1989 the Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4) started randomizing men with a clinically initiated diagnosis of localized prostate cancer to either watchful waiting or open radical prostatectomy as their primary treatment. A new paper has now addressed the long-term quality of life (QoL) of men in this study.

Feasibility of focal HIFU: a pilot study with 10-year follow-up data

The potential of high-intensity focused ultrasound (HIFU) as a form of focal therapy for treatment of cancer isolated to a portion of the prostate as opposed to treatment of the entire prostate has been recognized for a considerable period of time. However, limited data are available so far on the outcomes of men treated with [...]

Height, risk, and higher-grade forms of prostate cancer

Back in 2008, we commented on a British report that taller men might be at greater risk than average for prostate cancer in general and for more aggressive forms of prostate cancer in particular. Now a new study based on US patients has again suggested that there may be something to the second of these two [...]

Immediate adjuvant therapy for men with positive surgical margins after RP

There are no absolute guidelines as to which patients who have positive surgical margins after a radical prostatectomy (RP) are most appropriate for immediate adjuvant radiation therapy (with or without neoadjuvant and/or adjuvant hormone therapy).

Can specific miRNAs be used to predict risk of early biochemical relapse after first-line treatment?

No currently known biomarker can accurately predict the risk of prostate cancer recurrence at the time of or immediately following first-line treatment for localized prostate cancer. The best we can currently manage is to track a patient’s PSA level and his PSA doubling time.

PPACA, cancer disparities, and health care reform

As reported last Friday on the Medscape web site, the American Society for Clinical Oncology (ASCO) has recently issued a new policy statement addressing the opportunities presented by the Patient Protection and Affordable Care Act (PPACA) to reduce the disparities in cancer care.

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