An hormonal storm in a set of Italian pre-surgical teacups

An article available online in Cancer makes the rather surprising suggestion that high serum levels of 17β-estradiol (E2) may be better indicators of risk for high-grade prostate cancer than high serum levels of testosterone.

Recovery of serum T levels after short-term LHRH agonist therapy

An article in the June issue of the Canadian Urological Association Journal offers preliminary evidence from a randomized clinical trial that men treated for 6 months with a short-acting LHRH agonist may recover normal serum testosterone (T) levels faster than those treated for the same time with a long-acting LHRH agonist.

Testosterone replacement therapy in men with low serum T and untreated prostate cancer

An article in the May issue of BJU International has proposed establishment of an international data registry as being “the quickest way” to establish basic data on the risks related to testosterone replacement therapy in men with untreated prostate cancer.

What’s hot at the AUA annual meeting (Monday afternoon)?

It is becoming increasingly clear that the prevention, treatment, and management of prostate cancer is at an intellectual as well as a practical, clinical crossroads.

Degarelix as second-line ADT in men not responsive to LHRH agonist therapy

First-line androgen deprivation therapy (ADT) for a man with metastatic prostate cancer has long been been either surgical or medical castration. In the case of medical castatration, the form of medication most commonly used since the mid to late 1980s has been an LHRH agonist (e.g., leuprolide acetate).

Testosterone therapy in untreated men with prostate cancer

One of the most controversial issues in the management of prostate cancer is whether testosterone therapy can be given to men who have or are at risk for the recurrence of this type of cancer. Such use of testosterone therapy has been contraindicated for many years, but recent data has started to question this longstanding [...]

Androgen supplementation and risk for prostate cancer

A new paper from a research team in Seattle probably has limited relevance to our understanding of the real risks associated with androgen supplementation and subequent diagnosis of prostate cancer (or other prostate disorders) — even though it was a randomized, double-blind clinical trial.

Castrate serum T levels and prostate cancer-specific mortality

A few weeks ago, a Letter to the Editor in the New England Journal of Medicine focused on the significance of castrate levels of serum testosterone (serum T) in men being treated with LHRH agonists for advanced forms of prostate cancer.

Pretreatment T level and post-surgical pathologic stage: a prognostic relationship?

A new study by a French research team has suggested that there may be a prognostic relationship between the pretreatment testosterone (T) level and the post-surgical pathology of men who undergo radical prostatectomy (RP) for treatment of localized prostate cancer.

Eli Lilly get FDA approval for “under-arm” testosterone supplement

According to a media release issued just before Thanksgiving, the FDA has approved a new formulation of testosterone supplement (originally developed by an Australian company called Acrux) and licensed to Eli Lilly & Co. for marketing in the USA and the rest of the world.

Does taking a statin lower PSA in men being tested for prostate cancer risk?

Ever since it was recognized that there might be an association between taking statins (as a preventive treatment for elevated cholesterol levels) and risk for prostate cancer (which is now disputed), there has been an associated question as to whether men taking statins generally had a lower PSA level than men who were not, and [...]

Assessment of serum T levels in men on androgen deprivation therapy

A paper in a forthcoming issue of European Urology recommends strongly that clinicians should monitor serum testosterone (serum T) levels during androgen-deprivation therapy (ADT) in men with prostate cancer.

It’s not a gel, it’s not a patch, it’s not a pill, it’s …

… an underarm roll-on … and it’s a proposed new way to provide prescription-grade testosterone replacement therapy for men with low testosterone levels (hypogonadism).

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 [...]

Prostate cancer news reports: Wednesday, November 25, 2009

There have been a number of interesting reports over the past couple of days that are summarized briefly below. They encompass such topics as: The validity of the Epstein criteria in predicting clinically indolent prostate cancer MRI and MRSI in patient work-up prior to treatment for stage T1c disease Contrast-enhanced, color Döppler ultrasound and prostate [...]

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