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Management of Prostate Cancer with Systemic Therapy: A Prostate Cancer Unit Perspective

[ Vol. 21 , Issue. 2 ]

Author(s):

Fabio Campodonico*, Marco Ennas, Silvia Zanardi , Ekaterini Zigoura, Arnoldo Piccardo, Luca Foppiani, Concetta Schiavone, Lino Squillace, Andrea Benelli, Andrea De Censi , Filippo Grillo-Ruggieri and Carlo IntroiniPages 107-116 (10)

Abstract:


The scenario of systemic therapy for prostate cancer is rapidly evolving, with new drugs and new treatment options. To update the background knowledge of shared uro-oncologic practice, we reviewed current statements and landmarks in systemic therapy. A number of new agents are under investigation in non-metastatic and metastatic disease. Similarly, new target imaging technologies are under development to improve the detection rate of true non-metastatic and true metastatic patient. Five new drugs have shown to be effective on progression-free and overall survival in metastatìc prostate cancer. However, the optimal sequencing of these treatments requires further investigation. The tolerability and side effects of the new drugs are also crucial issues to be discussed, as well as their activity against the disease. The uro-oncologic team has to stay updated about new medical therapies in order to be confident in debating with other professionals involved in prostate cancer decision making. Different points of view and nuances should be shared during multidisciplinary group discussions to achieve a balanced decision in disease management.

Keywords:

Prostate cancer, androgen deprivation therapy, antiandrogens, prostate cancer unit, docetaxel, systemic therapy.

Affiliation:

Department of Abdominal Surgery, Urology, Galliera Hospital, Genova, Department of Abdominal Surgery, Urology, Galliera Hospital, Genova, Medical Oncology Unit, Galliera Hospital, Genova, Geriatrics Unit, Galliera Hospital, Genova, Nuclear Medicine Unit, Galliera Hospital, Genova, Internal Medicine Unit, Galliera Hospital, Genova, Radiotherapy Unit, Galliera Hospital, Genova, Information Technology, Galliera Hospital, Genova, Department of Abdominal Surgery, Urology, Galliera Hospital, Genova, Medical Oncology Unit, Galliera Hospital, Genova, Radiotherapy Unit, Galliera Hospital, Genova, Department of Abdominal Surgery, Urology, Galliera Hospital, Genova

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