{"title":"Estramustine phosphate and other cytotoxic drugs in the treatment of poor prognostic advanced prostate cancer.","authors":"R A Janknegt","doi":"10.1002/pros.2990210516","DOIUrl":"https://doi.org/10.1002/pros.2990210516","url":null,"abstract":"<p><p>Hormonal treatment is effective for only a limited time in primary treatment of advanced prostate cancer, because of the development of hormone-resistant cells. It is unknown whether these cells were present in small numbers from the beginning or developed later by mutation of hormone-sensitive cells. Cytotoxic therapy has, up to now, mainly been used as second-line treatment when virtually all cells are hormone-resistant. Because 20% of all advanced prostate cancers do not respond to hormonal treatment even when given as primary therapy, hormone-resistant cells may have been present from the beginning. Trials using a combined hormonal and cytotoxic treatment as primary therapy would, therefore, be interesting. However, there is a lack of active compounds that do not show major toxicity. Estramustine phosphate (EMP) may be an exception. It is unusual because it combines hormonal and cytotoxic effects. Second-line treatment with chemotherapy has led to subjective improvement over a very short period of time only. EMP may be of benefit to patients who have had previous radiotherapy as it does not suppress the bone marrow. Although primary treatment of advanced prostate cancer with a combination of hormone and chemotherapy does not lead to a cure, it may extend time to progression, particularly in patients with poor prognostic factors at the onset. In future phase III studies, the role of prognostic factors must be further classified in order to obtain meaningful results.</p>","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"105-10"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12741554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A rationale for the use of non-steroidal anti-androgens in the management of prostate cancer.","authors":"R C Benson","doi":"10.1002/pros.2990210513","DOIUrl":"https://doi.org/10.1002/pros.2990210513","url":null,"abstract":"<p><p>Flutamide is a non-steroidal anti-androgen which has been used to treat prostate cancer. Results to date indicate that flutamide is as effective as other conventional therapy. It has only moderate activity in patients in whom conventional hormonal therapy has previously failed, but appears to be beneficial when combined with an LHRH agonist.</p>","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"85-90"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12742209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prostatic intraepithelial neoplasia (PIN): morphological clinical significance.","authors":"F K Mostofi, I A Sesterhenn, C J Davis","doi":"10.1002/pros.2990210511","DOIUrl":"https://doi.org/10.1002/pros.2990210511","url":null,"abstract":"<p><p>Premalignant lesions of the prostate fall into two categories. The first category includes formation of new, usually small, glands which are either abnormally distributed or show minimal nuclear atypia or both. Morphologically, this lesion presents the differential diagnostic alternatives of micro-acinar hyperplasia on the one hand and a low grade micro-acinar cancer on the other. If the presence or absence of nuclear anaplasia or acinar dispersion (i.e., stromal invasion) raises any degree of doubt, atypical glands are diagnosed. This is the category that is considered by some to be the precursor of well differentiated prostate cancer. The second category is prostatic intraepithelial neoplasia (PIN). We have defined PIN as an intra-acinar or ductal proliferation of secretory cells with unequivocal nuclear anaplasia, which corresponds to nuclear grade 2 and 3 invasive prostate cancer. We consider PIN as essentially carcinoma in situ. The lesion designated by some as PIN 1 is classified by us as atypical hyperplasia.</p>","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"71-7"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12546851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S D Fosså, S Kaasa, F C da Silva, S Suciu, M W Hengeveld
{"title":"Quality of life in prostate cancer patients.","authors":"S D Fosså, S Kaasa, F C da Silva, S Suciu, M W Hengeveld","doi":"10.1002/pros.2990210523","DOIUrl":"https://doi.org/10.1002/pros.2990210523","url":null,"abstract":"QOL is a multidimensional approach describing the patient’s perception of life in terms of physical, psychological and social factors. These include physical symptoms, social functioning, emotional functioning, treatment satisfaction, sexualityhntimacy, future orientation, occupational functioning, spiritual life, and economic status. Historically, indicators of physical function and subjective toxicity have often been measured by physicians in clinical trials. As QOL is subjective, it seems appropriate that it should be assessed by the patient, through interviews or self-administered questionnaires [ 11. Ad hoc study-specific questionnaires, designed for a single study often suffer from inadequate psychometric properties and are not recommended. During the last decade several disease-specific questionnaires have been designed and validated, including the Symptom Distress Scale [2], Functional Living Index: Cancer [3], Medical Outcome Study [4], and the Rotterdam Symptom CheckList [ 5 ] . The authors recommend the EORTC Core Quality of Life Questionnaire [6] for all EORTC trials in order to gain experience with the instrument and to compare ratings between patient groups. Practical guidelines for QOL research are shown in Table I [7].","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"145-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210523","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12741560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The natural history of locally confined prostate cancer: a review.","authors":"W R Fair","doi":"10.1002/pros.2990210512","DOIUrl":"https://doi.org/10.1002/pros.2990210512","url":null,"abstract":"The incidence of prostate cancer rises steeply in men over the age of 50 years. Mortality due to prostate cancer also increases, but not at the same rate as the incidence. In the U.S.A., a man has a lifetime risk of developing prostate cancer of about 1 in 11, but his risk of dying of the disease is about 1 in 22‐ 33.","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"79-84"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12742208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prostate specific antigen in diagnosis, staging, and follow-up of prostate cancer.","authors":"E H Cooper","doi":"10.1002/pros.2990210520","DOIUrl":"https://doi.org/10.1002/pros.2990210520","url":null,"abstract":"","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"125-8"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12546847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The management of incidental T1aG1 (TNM 1987) prostate cancer.","authors":"M S Soloway, J E Altwein","doi":"10.1002/pros.2990210524","DOIUrl":"https://doi.org/10.1002/pros.2990210524","url":null,"abstract":"Each tumor cell in a low grade, latent prostate cancer is theoretically at risk for transformation into a cell which eventually produces a clinically manifest cancer. The transformation rate is variable but has been calculated to take roughly 7 years [ 13. The neoplasm may be detected sooner if surgery for BPH identifies this low grade, low volume malignancy. This report of a consensus seminar addresses some of the controversial areas in regard to stage T laG 1 prostate cancer.","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"149-51"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12741561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Magnetic resonance imaging in carcinoma of the prostate.","authors":"H M Pollack, M D Schnall","doi":"10.1002/pros.2990210505","DOIUrl":"https://doi.org/10.1002/pros.2990210505","url":null,"abstract":"<p><p>Over the past few years, magnetic resonance imaging (MRI) has been shown to be of great value in imaging the pelvis. Its advantages derive from its multiplanar capability and high soft-tissue contrast, which are particularly significant in imaging the prostate and seminal vesicles. MRI, particularly with endorectal surface coils, provides excellent visualization of the prostate and periprostatic anatomy in multiple planes. It is also useful in evaluating the remainder of the pelvis, including lymph nodes and the bony pelvis. This makes MRI the most reliable noninvasive staging modality for prostate cancer.</p>","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"17-31"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12741564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prostate Cancer: imaging, management, and screening. Proceedings of the Prostate Sessions at the First International Congress of the Dutch Urological Association. Rotterdam, the Netherlands, October 9-13, 1991.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"1-169"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12522627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The molecular biology of urological tumors.","authors":"J Trapman","doi":"10.1002/pros.2990210526","DOIUrl":"https://doi.org/10.1002/pros.2990210526","url":null,"abstract":"<p><p>This article reviews the present understanding of chromosomal aberrations and specific genetic mutations in renal, bladder, and prostate cancers. In kidney tumors, specific emphasis is given to chromosome 3 deletions in renal cell carcinoma and the characterization of the WT1 gene in Wilms' tumor. In all three urological tumors, the presence of mutations in the RAS, P53, and RB genes (all of which often occur in other tumors) is analyzed. The expression and properties of the androgen receptor in prostate cancer are also summarized.</p>","PeriodicalId":77436,"journal":{"name":"The Prostate. Supplement","volume":"4 ","pages":"159-69"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pros.2990210526","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12741563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}