eISSN: 3023-6940
  • Home
  • Did the course of the metastatic prostate cancer patients change with modern treatment methods?

Original Research

Did the course of the metastatic prostate cancer patients change with modern treatment methods?


Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi


DOI :
New J Urol. 2013; 8 (3): 12-18

Abstract

Objectives: Androgen deprivation therapy is the standard treatment for metastatic prosta-te cancer. Although the current treatment met-hods the disease becomes hormone resistant after a while. In our study, patients diagnosed with metastatic prostate cancer, we investiga-ted the effects of modern treatment methods in terms of the clinical course and survival.

Materials and Methods: Between 2005-2012, 118 patients followed at our outpatient clinic with diagnosis of metastatic prostate can-cer were retrospectively analyzed. Clinical cha-racteristics, hormonal treatment modalities of patients, disease and treatment-related compli-cations, disease progression and survival time were recorded.

Results: The mean age of the patients at di-agnosis was 69.4 (53-87) years, mean PSA le-vel before biopsy was 255.1 (20-2000) ng / ml and the mean Gleason score was 8.1 (7-10) . The mean hormone resistance development time in patients receiving hormonal therapy was 22.8 ± 10.9 months. The mean survival of patients with hormone resistant prostate cancer (HRPC) was 13.7 (3-19) months. The mean time between the diagnose and death in metastatic prostate can-cer patients was 36.6 ± 14.8 months. There was no statistical difference between neither mo-notherapy group (LHRH therapy or orchidec-tomy) and maximal androgen deprivation the-rapy group  (orchidectomy or LHRH therapy with antiandrogen drugs) (35.7±12  months – 37.2±16.4 months, P=0.59) nor the intermittent hormonal therapy patients and continuous hor-monal therapy given group (38±12.1  months - 35.5±16.7 months, P=0.35)  in terms of mean survival rates. In patients receiving chemotherapy, the median sur-vival was 7.4 months.

Conclusion: Metastatic prostate cancer, when considering the disease itself as well as the side effects of treatment is a disease that requires careful treatment with the supportive therapy. Although metastatic prostate cancer is a hormone-sensitive tumor, intermit-tent or continuous hormonal therapy, MAB or monotherapy any of them are given, there are no differences in terms of survival.

Key Words: Metastatic prostate cancer, hormonal therapy, sur-vival


Abstract

Objectives: Androgen deprivation therapy is the standard treatment for metastatic prosta-te cancer. Although the current treatment met-hods the disease becomes hormone resistant after a while. In our study, patients diagnosed with metastatic prostate cancer, we investiga-ted the effects of modern treatment methods in terms of the clinical course and survival.

Materials and Methods: Between 2005-2012, 118 patients followed at our outpatient clinic with diagnosis of metastatic prostate can-cer were retrospectively analyzed. Clinical cha-racteristics, hormonal treatment modalities of patients, disease and treatment-related compli-cations, disease progression and survival time were recorded.

Results: The mean age of the patients at di-agnosis was 69.4 (53-87) years, mean PSA le-vel before biopsy was 255.1 (20-2000) ng / ml and the mean Gleason score was 8.1 (7-10) . The mean hormone resistance development time in patients receiving hormonal therapy was 22.8 ± 10.9 months. The mean survival of patients with hormone resistant prostate cancer (HRPC) was 13.7 (3-19) months. The mean time between the diagnose and death in metastatic prostate can-cer patients was 36.6 ± 14.8 months. There was no statistical difference between neither mo-notherapy group (LHRH therapy or orchidec-tomy) and maximal androgen deprivation the-rapy group  (orchidectomy or LHRH therapy with antiandrogen drugs) (35.7±12  months – 37.2±16.4 months, P=0.59) nor the intermittent hormonal therapy patients and continuous hor-monal therapy given group (38±12.1  months - 35.5±16.7 months, P=0.35)  in terms of mean survival rates. In patients receiving chemotherapy, the median sur-vival was 7.4 months.

Conclusion: Metastatic prostate cancer, when considering the disease itself as well as the side effects of treatment is a disease that requires careful treatment with the supportive therapy. Although metastatic prostate cancer is a hormone-sensitive tumor, intermit-tent or continuous hormonal therapy, MAB or monotherapy any of them are given, there are no differences in terms of survival.

Key Words: Metastatic prostate cancer, hormonal therapy, sur-vival

Resources