IMRT offers no significant benefit over CRT following prostatectomy

IMRT offers no significant benefit over CRT following prostatectomy

No significant difference in morbidity, cancer control for men treated post-prostatectomy using Intensity-modulated radiotherapy (IMRT) over conformal radiotherapy (CRT).

Sleep problems may increase risk for prostate cancer

Men who reported sleep problems, including difficulty falling asleep and staying asleep, had up to a twofold increased risk for prostate cancer, according to recently published data.

Prostate cancer comorbidities increase other-cause death risk for men

Prostate cancer comorbidities increase other-cause death risk for men

For older men with nonmetastatic prostate cancer, comorbidities increase risk of other-cause death mortality.

Statin use may reduce deaths from prostate cancer

Men with prostate cancer who used statin drugs prior to diagnosis had a decreased risk of prostate-cancer-specific mortality.

ASCO: Midlife fitness may protect against lung cancer

ASCO: Midlife fitness may protect against lung cancer

High fitness has been linked to reductions in risk of developing and dying from lung, colorectal cancer.

New prostate cancer test improve risk assessment

A new tool helps identify men who are best suited for active surveillance of prostate cancer, predicting which are more likely to harbor an aggressive form of the disease.

Prostate cancer risk higher for obese men even after benign biopsy

Obese men were more likely to have precancerous lesions detected in their benign prostate biopsies compared with nonobese men, and they were at a greater risk for subsequently developing prostate cancer, according to a new study.

FDA approves Xofigo for advanced prostate cancer treatment

The FDA has approved Xofigo (radium Ra 223 dichloride; Bayer) for the treatment of symptomatic late-stage castration-resistant prostate cancer with bone metastases.

Surgeon Variation Affects QoL After Prostatectomy

Surgeon Variation Affects QoL After Prostatectomy

Significant associations seen in men's urinary and sexual function based on surgeon performing radical prostatectomy.

Certain DNA changes linked to development and lethality of prostate cancer

A new analysis has found that the loss or amplification of particular DNA regions contributes to the development of prostate cancer, and that patients with two of these DNA changes have a high likelihood of dying from the disease.

AUA: Death up in weekend ER Visits for prostate cancer patients

AUA: Death up in weekend ER Visits for prostate cancer patients

Patients with metastatic prostate cancer who visit ER over the weekend have increased odds of death, compared with weekday visits.

VEGF may be irrelevant as biomarker for advanced prostate cancer

According to a recent retrospective study, the protein VEGF does not appear to have any prognostic or predictive value for men with locally advanced prostate cancer.

Prostate cancer driven by periodic bursts of genetic mutations

Sequencing of 57 prostate cancer genomes found that cancer gains a powerful advantage with abrupt intervals of complex, large-scale DNA reshuffling. This process has been dubbed punctuated cancer evolution.

New prostate cancer screening guidelines from AUA emphasize targeted patient screening

New guidelines from the American Urological Association advise men aged 55 to 69 years who are considering prostate cancer screening to talk with their doctors about the benefits and harms of testing.

Most older men receive treatment for screen-detected prostate cancer

Many older men who are found to have prostate cancer after PSA screening receive treatment despite advancing age, poor health, or low-risk disease.

Genetic factor affecting prostate cancer prognosis identified

Hereditary mutations in the BRCA2 gene predispose patients to a worse evolution of prostate cancer and a greater risk of developing metastasis.

ACP: Harms of PSA testing outweigh benefits for many men

The American College of Physicians (ACP) recommends against prostate-specific antigen (PSA) screening for men older than age 69 and many others.

Prostate cancer risk after negative biopsy higher in obese patients

Prostate cancer risk after negative biopsy higher in obese patients

In men with an initial benign biopsy, obesity at the time of the procedure is associated with the presence of precancerous lesions in the initial biopsy and a higher risk of developing prostate cancer.

Prostate cancer survival may be compromised by on-and-off treatment approach

Taking a break from hormone-blocking prostate cancer treatments once the cancer seems to be stabilized is not equivalent to continuing therapy, a new large-scale international study finds.

Prostate cancer risk increased in men with Lynch syndrome

Men with an inherited genetic condition called Lynch syndrome face a higher lifetime risk of developing prostate cancer and appear to develop the disease at an earlier age, according to a new study.

25-year survival after prostate radiation matches prostatectomy

25-year survival after prostate radiation matches prostatectomy

Late recurrence of prostate cancer is rare if PSA is less than 0.2 ng/mL, the surgical PSA definition of cancer control, 15 years after treatment with radiation therapy.

African Americans experience longer delay between prostate cancer diagnosis and treatment

African American men on average wait a week longer than their Caucasian counterparts between the initial diagnosis of prostate cancer and treatment, according to a new study.

Early-onset baldness linked to risk of prostate cancer in African American men

Baldness was associated with an increased risk of prostate cancer among African American men, and risk for advanced prostate cancer increased with younger age and type of baldness, according to recently published data.

Survival worse with intermittent vs continuous androgen deprivation in prostate cancer

Survival worse with intermittent vs continuous androgen deprivation in prostate cancer

Intermittent androgen deprivation is linked to worse survival versus continuous; however, the results were statistically inconclusive.

Novel protein helps castration-resistant prostate tumors resist treatment and may be a target

Researchers have identified a mechanism in androgen-insensitive prostate cancer cells that enables them to survive treatment. A protein called Siah2 keeps a portion of androgen receptors constantly active in prostate cancer cells.

Digital rectal examinations remain important in screening for prostate cancer

The digital rectal examination is an important screening test that can discover prostate cancer that a PSA test may not, despite the higher sensitivity of the PSA test.

Surgery is superior to radiotherapy in men with localized prostate cancer

Surgery offers a better survival benefit for men with localized prostate cancer, according to a large observational study.

Carriers of Lynch syndrome have two-fold increased risk of prostate cancer

Carriers of Lynch syndrome have two-fold increased risk of prostate cancer

A JCO study has found that Lynch syndrome carriers have an almost two-fold cumulative chance of prostate cancer at ages 60 and 80 years.

Vaccine and corticosteroid combination shows promise in castration-resistant prostate cancer

A recent study showed the promising benefit of multipeptide vaccination therapy combined with low-dose dexamethasone in patients who are chemotherapy-naïve or those not yet exposed to specific antigens.

Patients with advanced prostate cancer may benefit from mushroom-supplemented soybean extract

Genistein-combined polysaccharide, a natural and nontoxic product available in health food stores, could help lengthen life expectancy for patients with prostate cancer.

Analysis explores best use of radical prostatectomy vs watchful waiting

Researchers assessed why two studies comparing prostatectomy with watchful waiting had conflicting findings in absolute mortality difference.

Study results support patient concerns about a controversial side effect of therapy

Study results support patient concerns about a controversial side effect of therapy

A posttreatment assessment of men who underwent treatment for prostate cancer revealed a side effect that has a significant impact on patients.

Diet can thwart prostate 
cancer progression

Diet can thwart prostate 
cancer progression

Men with early-stage prostate cancer may be able to inhibit tumor growth and progression by following a high-fiber diet.

ASCO GU: Anticoagulant use predicts metastatic prostate CA survival

ASCO GU: Anticoagulant use predicts metastatic prostate CA survival

Anticoagulant use is associated with improved survival in men receiving docetaxel chemotherapy for treatment of metastatic castration-resistant prostate cancer, according to research presented at the 2013 Genitourinary Cancers Symposium.

ASCO GU: Finasteride reduces risk of prostate cancer diagnosis

ASCO GU: Finasteride reduces risk of prostate cancer diagnosis

Use of finasteride reduces the risk of a prostate cancer diagnosis, but does not significantly affect mortality rates after following men for 18 years, found research presented at the 2013 Genitourinary Cancers Symposium.

Study tracks long-term impact of prostate cancer treatment on urinary, sexual, and bowel function

Differences in urinary, bowel, and sexual function were reported at short-term follow-up, but those differences were no longer significant 15 years after initial treatment.

Stress can fuel prostate cancer

Behavioral stress can accelerate the development of prostate cancer and weaken the effectiveness of drugs designed to fight the disease.

Novel radiation method shortens time for prostate cancer treatment

Overall treatment time for prostate cancer was reduced by about 14% by the use of VMAT to deliver intensity-modulated radiation therapy.

Men at high skeletal risk prior to prostate cancer hormone therapy likely to have more fractures

Men with a high risk of bone fracture who are receiving long-term ADT for prostate cancer have a higher fracture incidence after their treatment is completed. Also, men who experienced a fracture had a 1.38-fold higher mortality risk than those who did not.

Alternative PSA screening strategies could reduce harm

Alternative PSA screening strategies could reduce harm

Use of biennial strategy with longer interval for low PSA levels reduces tests, false-positive results.

Low rate of prostate cancer diagnosis after REDUCE

Low rate of prostate cancer diagnosis after REDUCE

Over two-year follow-up, more cancers detected in men in dutasteride arm versus placebo arm.

Change in PSA levels over time is a more accurate predictor of aggressive prostate cancer

A recent study showed evaluating prostate-specific antigen measurements taken over time improves the accuracy of aggressive prostate cancer detection compared with a single measurement of PSA.

After the treatments end: Do your patients with prostate cancer know about this potential effect?

A posttreatment assessment of men who underwent treatment for prostate cancer revealed a side effect that has a significant impact on patients.

Updated tool to more effectively predict spread of prostate cancer is now available

An updated version of the Partin Tables, a tool to help men with prostate cancer and their doctors better assess the chance of a surgical cure, has been developed.

Doctors' use of informed decision-making for PSA testing varies

Doctors' use of informed decision-making for PSA testing varies

Physicians' practice styles related to informed decision-making for prostate-specific antigen (PSA) screening are linked to their personal beliefs about screening.

Protein may be biomarker for prostate cancer metastasis

Elevated levels of the cell cycle regulator cyclin D1b may be a novel biomarker of lethal metastatic disease in men with prostate cancer.

Dual-antigen recognition could improve cancer immunotherapy

Creating T cells that recognize two different antigens on a tumor cell rather than just one could lead to more precisely targeted immunotherapy.

Reduced penile size linked to prostate cancer treatment

Reduced penile size linked to prostate cancer treatment

Low incidence, but more likely after surgery or radiotherapy plus ADT versus radiotherapy alone.

Most unaware of out-of-pocket costs for prostate cancer treatments

Most unaware of out-of-pocket costs for prostate cancer treatments

Most men would not have chosen a different treatment even if they had been aware of costs.

MRI-ultrasound fusion provides a better visual for obtaining prostate biopsy

Traditionally, prostate cancer has been found only by blind biopsy using transrectal ultrasound to sample the prostate. It is the only major malignancy diagnosed without actually visualizing the tumor during biopsy.

Zytiga approved for metastatic prostate cancer

The FDA has expanded the indication for abiraterone acetate (Zytiga tablets) to combat metastatic castration-resistant prostate cancer.

Targeted biopsy detects more prostate cancers

A clinic-based technique of targeted biopsy using MRI and ultrasound may improve the diagnosis and management of prostate cancer.

Bone metastasis from prostate cancer responds to new drug

About two-thirds of patients treated with cabozantinib had improvements on their bone scans, with 12% seeing complete resolution on uptake on bone scans.

Androgen deprivation may be harmful for some prostate cancer

Androgen deprivation may be harmful for some prostate cancer

May accelerate progression in cases of PTEN-loss induced high-grade prostatic intraepithelial.

New drugs, new thinking for prostate cancer

Optimal treatment of older patients with recurrent prostate cancer now involves more of a decision process than in the past, say the authors of a review article in the journal Drugs & Aging.

Some breast cancers may respond to anti-androgen drug

Newly approved for prostate cancer, enzalutamide may be useful as a therapeutic agent in breast cancer that evades other treatments.

Annual report highlights 2012 cancer advances

The American Society of Clinical Oncology has released a nearly 100-page report detailing the year's most significant developments in cancer.

MR-US fusion targeted biopsy ups detection of prostate cancer

MR-US fusion targeted biopsy ups detection of prostate cancer

Magnetic resonance-ultrasound fusion targeted biopsy detects aggressive tumors better than standard.

Zytiga's use expanded for advanced prostate cancer

Zytiga's use expanded for advanced prostate cancer

U.S. Food and Drug Administration approval of Zytiga (abiraterone acetate) has been expanded to include treating late-stage castration-resistant prostate cancer before the administration of chemotherapy, the agency said today.

Prostate cancer awareness lacking among men

Men have a surprising lack of awareness about prostate cancer, according to results of a new survey. A significant gap exists between the facts about prostate cancer and what men believe about the disease.

Cloud data on cancer may lead to more effective treatments

Cloud technology is now being used to collect detailed information from thousands of cancer samples with the goal of helping doctors make better predictions about how a patient's illness will progress and what type of treatment will be most effective.

New targeted therapy for prostate cancer has anti-tumor activity in phase I trial

Levels of circulating tumor cells and of prostate specific antigen were reduced by a new drug in patients who had already failed previous chemotherapy and hormone treatments.

Gene patterns guide prognosis in castration-resistant prostate cancer

Two separate research teams identified genes that can predict outcomes in men with castration-resistant prostate cancer (CRPC).

Proton therapy preserves quality of life for men with prostate cancer

Proton therapy preserves quality of life, meaning specifically urinary and bowel function, in men treated with this targeted radiation modality for prostate cancer. This research obtained information directly from the men who underwent the therapy, rather than from their treatment providers.

Radiotherapy after prostatectomy has long-term benefits

Administering radiotherapy after prostatectomy helped nearly two-thirds of users in a recent study remain free of prostate cancer after 10 years.

Many patients find that prostate cancer websites are too difficult to read

Only 4.8% of websites describing prostate cancer are written below a high school reading level. Their median reading level was 12th grade. Notably, the NIH recommends that patient-education materials be written at the fourth-through-sixth grade reading level.

Newfound PARP-1 role becomes a promising target in prostate cancer

Scientists discovered PARP-1 contributes to the growth and progression of androgen receptor-positive prostate cancer cells.

Metabolic factors may increase risk of dying from prostate cancer

Study findings suggest that public health recommendations regarding diet and lifestyle to prevent heart disease and diabetes may also decrease a man's likelihood of dying from prostate cancer.

Noninvasive assay monitors treatment response in patients with metastatic prostate cancer

Certain analyses of cancer cells isolated from the blood could guide decisions about the ideal treatment for a patient with metastatic prostate cancer who has stopped responding to initial therapy.

Taxanes do more than stop prostate tumor cell division

New insights into the action of taxanes on androgen receptors in prostate cancer shed light on why a patient may not respond to these drugs.

Aspirin helps in some cancers

Aspirin helps in some cancers

Differences in the impact of aspirin in various forms of cancer are highlighted in two studies recently published in the oncology literature.

Signaling in prostate tumors indicates responsiveness

Signaling in prostate tumors indicates responsiveness

State of androgen receptor signaling may help determine best treatment.

Watchful waiting offers more quality years than prostatectomy

Compared with prostatectomy, surveillance will likely reduce prostate cancer-specific survival only slightly and greatly enhance quality of life.

Genetic markers predict sexual problems after prostate radiation

Researchers have identified 12 genetic markers linked with susceptibility for erectile dysfunction after radiotherapy for prostate cancer.

Bladder cancer may respond to antiandrogen therapy

A protein that confers a worse prognosis in bladder cancer when present in high levels may respond to antiandrogen therapy used in prostate cancer.

About 170 million healthy life-years lost to cancer globally

About 170 million healthy life-years lost to cancer globally

In 2008, total disability-adjusted life-years lost mainly due to colorectal, lung, breast, prostate cancer.

Gene signature predicting prostate cancer survival discovered

A six-gene signature has been identified that can be used in a test to predict survival in men with aggressive prostate cancer.

Abiraterone proves worthy against prostate cancer

Abiraterone markedly prolongs survival in men with metastatic castration-resistant prostate cancer that has progressed after docetaxel therapy.

Gene signatures predict outcome in prostate cancer

Gene signatures predict outcome in prostate cancer

Two studies identify prognostic profiles for men with castration-resistant prostate cancer.

MRI helps identify which prostate cancer patients may benefit from active surveilllance

Adding endorectal magnetic resonance imaging (MRI) to the initial clinical evaluation of men with clinically low-risk prostate cancer helps to assess eligibility for active surveillance.

Survivors would rather see cancer specialists than PCPs

Adult cancer survivors have concerns about receiving cancer-related follow-up care from their primary-care physicians (PCPs).

High-grade prostate cancers are better detected by contrast-enhanced ultrasonography

Contrast-enhanced ultrasonography detects high-grade prostate cancer better than conventional methods, and so it is a more appropriate approach for screening clinically important cancers and monitoring low-risk ones with fewer biopsies.

Diagnosis and surgery for prostate cancer reduces quality of life

One year after men undergo surgical removal of prostate cancer, they have significant anxiety, which appears to be linked to poor sexual satisfaction and depression.

Surveillance for low-risk prostate cancer examined

Surveillance for low-risk prostate cancer examined

Simulation model compares long-term effect of active surveillance versus immediate prostatectomy.

Survival similar for on/off androgen deprivation vs continuous therapy

Intermittent androgen deprivation was just as effective as continuous therapy in overall survival, and improved some quality-of-life factors.

Tamoxifen soothes effects of prostate cancer treatment

The anti-estrogen tamoxifen appears to suppress gynecomastia and breast pain in men undergoing androgen-suppression therapy for prostate cancer.

Abiraterone prolongs survival in metastatic prostate cancer

Abiraterone prolongs survival in metastatic prostate cancer

Findings in patients with metastatic castration-resistant prostate cancer.

PSA era sees improved overall survival rates in prostate cancer

Overall survival rates have improved for men with prostate cancer following the introduction of PSA screening, particularly for African Americans.

Lower Prostate Cancer-Specific Death With Anticoagulant Use

Lower Prostate Cancer-Specific Death With Anticoagulant Use

Aspirin primarily contributes to reduction for localized cancer treated with prostatectomy, radiotherapy.

Finasteride, dutasteride therapy may enhance PSA reading

The magnitude of change in serum prostate-specific antigen (PSA) after 5α-reductase inhibitor therapy may be useful in diagnosing prostate cancer.

Calcium and vitamin D may hurt, not help, in prostate cancer

Calcium and/or vitamin D supplementation at commonly recommended doses does not prevent bone loss from androgen-deprivation therapy.

Improved Survival for Prostate Cancer Seen in Post-PSA Era

Improved Survival for Prostate Cancer Seen in Post-PSA Era

Survival rates comparable for white and black men in post-prostate-specific antigen era trial.

September: A month for cancer awareness

September: A month for cancer awareness

Patient information on coping with the emotional toll of cancer, making treatment decisions, dietary and nutritional needs, and survivorship care

Process Areas for Improvement ID'd in Early Prostate Cancer

Process Areas for Improvement ID'd in Early Prostate Cancer

Men undergoing expectant management have high compliance with RAND structural indicators.

Protein keeps prostate cancer growing despite hormone therapy

The protein paxillin can regulate signals that lead to the creation of prostate cancer cells even in the absence of tumor-nurturing hormones.

Enzalutamide Prolongs Survival in Resistant Prostate Cancer

Enzalutamide Prolongs Survival in Resistant Prostate Cancer

Post-chemo, enzalutamide also improves secondary outcomes in metastatic castration-resistant cancer.

FDA Update - July/August 2012

FDA Update - July/August 2012

News about pertuzumab injection (Perjeta); ondansetron (Zofran); carfilzomib (Kyprolis); Therascreen KRAS RGQ PCR Kit; Prostate Health Index (phi); and Prepopik

PSA Change After 5 Reductase Therapy Aids Cancer Diagnosis

PSA Change After 5α Reductase Therapy Aids Cancer Diagnosis

Findings are in men with persistently increased serum PSA and previously negative prostate biopsies.

Prostatectomy did not notably reduce mortality in study

Radical prostatectomy did not significantly reduce all-cause or prostate cancer mortality compared with observation in men with localized disease.

Ultrasound technique helps radiation destroy 10x more tumor cells

An ultrasound-based therapy that agitates blood vessels has been shown to enhance the tumor-blasting effects of radiation by 10-fold in experiments.

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