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How to approach castration-resistant prostate cancer?
Author(s) -
Sevil Bavbek
Publication year - 2015
Publication title -
marmara medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 11
ISSN - 1309-9469
DOI - 10.5472/mmj.80248
Subject(s) - medicine , castration , prostate cancer , mitoxantrone , oncology , immunotherapy , prednisone , cabazitaxel , hormonal therapy , chemotherapy , cancer , enzalutamide , hormone , androgen deprivation therapy , androgen receptor
The therapeutic landscape of castration-resistant prostate cancer (CRPC) has changed dramatically in the last decade. Previously, limited to castration, second-line hormonal manipulations, and palliative treatment with mitoxantrone plus prednisone, median overall survival (OS) remained in the 9-18 months range. With multiple lines of survival improving chemotherapies, AR-directed drugs, as well as new immunotherapy and bone-directed therapies, median OS increased to more than 30 months and quality of life increased accordingly. The question remains, as how to sequence, and choose the best therapeutic option for each individual patient with the current data. Keywords: Prostatic neoplasms, Castration-resistant, Immunotherapy, Chemotherapy, Antineoplastic agents, Hormonal, Radioimmunotherapy

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