The scientific basis for PSA monitoring after first-line treatment for localized prostate cancer

A new article in the Canadian Medical Association Journal has reported on a careful analysis of the published literature underlying current guidelines on the use of repetitive PSA testing to monitor risk for progression in men receiving first-line treatment for localized prostate cancer.

More good reasons to stop smoking if you are at risk for prostate cancer

New data from a research team at Stanford University in California have further confirmed the effect of “heavy” smoking on the diagnosis of men with prostate cancer.

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 [...]

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.

Apical prostate cancer and recurrence after HIFU

The presence of prostate cancer in the apex (the lowest tip) of the prostate is always a challenging aspect for treatment of localized prostate cancer, because this places the cancer close to the nerves that control erectile function (potency) and to the sphincter (valve) that controls urine flow.

Race and outcomes after prostate brachytherapy

A new retrospective analysis of data from > 2,300 patients suggests that African-American men are a greater risk for biochemical disease recurrence after brachytherapy alone than Hispanics or Caucasian men, but

CAPRA-S scores and projection of prostate cancer recurrence post-surgery

The University of California, San Francisco (UCSF) Cancer of the Prostate Risk Assessment (CAPRA) score was initially introduced in 2005 and validated in 2006 as a pre-treatment tool that could be used to assess risk for prostate cancer recurrence after first-line treatment.

Men should stop smoking 10 years BEFORE a prostate cancer diagnosis

New data from the Health Professionals Follow-Up Study (HPFUS) suggest that men who are smokers at the time of diagnosis of prostate cancer are at increased risk for prostate cancer progression or recurrence and prostate cancer-specific mortality compared to those who have never smoked or who stopped at least 10 years earlier.

More data suggest benefit of aspirin after radiation for prostate cancer

According to a media release issued by Fox Chase Cancer Center yesterday, researchers at this institution have been able to demonstrate that “aspirin reduces the risk of cancer recurrence in some prostate cancer patients.”

Does lifestyle intervention affect prostate cancer outcomes?

A new draft technology assessment report from the Agency for Healthcare Research and Quality (AHRQ) has addressed the impact of lifetyle interventions on prostate cancer (along with three other disorders).

Initial data from Genomic Health test for recurrent or progressive prostate cancer

According to a media release this morning from Genomic Health, Inc., initial data from a large study has identified 295 genes that are strongly associated with clinical recurrence following radical prostatectomy.

The potential of the prostate cancer stem cell

We have known since 1994 that the recurrence of some types of cancer can be driven by cancer- specific stem cells (cancerous duplicates of the normal stem cells that we all carry in our bone marrow and our blood stream). Whether this is true of all cancers is definitively not known.

What does a positive surgical margin actually imply?

In an editorial commentary on the UroToday web site, Evans has discussed a recent paper from researchers at the University of Nijmegen on the length of positive surgical margins and the risk for prostate cancer recurrence.

Detection of local prostate cancer recurrence after EBRT

Data from a small study at the University of California at San Francisco suggest that magnetic resonance (MR) spectroscopic imaging is better than  T2-weighted MR imaging alone for the detection of locally recurrent prostate cancer after definitive external beam radiation therapy (EBRT) as first-line therapy.

Does surgical experience trump tumor biology (at least for patients at very high risk)?

We know from prior studies that recurrence of prostate cancer after a radical prostatectomy is related to tumor biology and to surgical surgical skill and experience, but is one more important than the other?

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