Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?

Androgen suppression strategy has become the key treatment of advanced prostate cancer. Historically, testosterone level below 1.73 nmol/l (50 ng/dl) was regarded as the castrate level. The current data shows that in an attempt to improve the therapeutic outcome, the new target for chemical castrati...

Full description

Bibliographic Details
Main Authors: A. A. Gritskevich, S. V. Mishugin, A. A. Teplov, V. L. Medvedev, I. G. Rusakov
Format: Article
Language:Russian
Published: Remedium Group LLC 2015-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/225
_version_ 1797841834748149760
author A. A. Gritskevich
S. V. Mishugin
A. A. Teplov
V. L. Medvedev
I. G. Rusakov
author_facet A. A. Gritskevich
S. V. Mishugin
A. A. Teplov
V. L. Medvedev
I. G. Rusakov
author_sort A. A. Gritskevich
collection DOAJ
description Androgen suppression strategy has become the key treatment of advanced prostate cancer. Historically, testosterone level below 1.73 nmol/l (50 ng/dl) was regarded as the castrate level. The current data shows that in an attempt to improve the therapeutic outcome, the new target for chemical castration is testosterone level below 0.69 nmol/l (20 ng/dl). Testosterone surges and suboptimal castrate level due to LHRH analogue therapy result in a porrer control for prostate cancer. Obese men have higher levels of testosterone during treatment with LHRH analogues than patients with a normal body mass index. The study of androgen ablation consists in identifying those agents which would allow to achieve and maintain the lowest possible levels of testosterone.
first_indexed 2024-04-09T16:37:36Z
format Article
id doaj.art-5cd7c86bc4704aaa9d96807d0c7522f3
institution Directory Open Access Journal
issn 2079-701X
2658-5790
language Russian
last_indexed 2024-04-09T16:37:36Z
publishDate 2015-12-01
publisher Remedium Group LLC
record_format Article
series Медицинский совет
spelling doaj.art-5cd7c86bc4704aaa9d96807d0c7522f32023-04-23T06:56:48ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902015-12-0108404310.21518/2079-701X-2015-8-40-43225Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?A. A. Gritskevich0S. V. Mishugin1A. A. Teplov2V. L. Medvedev3I. G. Rusakov4Vishnevsky Institute of SurgeryCity Hospital №57, MoscowVishnevsky Institute of Surgery, MoscowResearch Institute Regional Clinical Hospital №1 named after Prof. S.V. Ochapovskiy, KrasnodarCity Clinical Hospital No. 57, MoscowAndrogen suppression strategy has become the key treatment of advanced prostate cancer. Historically, testosterone level below 1.73 nmol/l (50 ng/dl) was regarded as the castrate level. The current data shows that in an attempt to improve the therapeutic outcome, the new target for chemical castration is testosterone level below 0.69 nmol/l (20 ng/dl). Testosterone surges and suboptimal castrate level due to LHRH analogue therapy result in a porrer control for prostate cancer. Obese men have higher levels of testosterone during treatment with LHRH analogues than patients with a normal body mass index. The study of androgen ablation consists in identifying those agents which would allow to achieve and maintain the lowest possible levels of testosterone.https://www.med-sovet.pro/jour/article/view/225рак предстательной железыаналоги лютеинизирующего гормонарилизинг-гормонтрипторелинтестостеронprostate canceranalogs of luteinizing hormone releasing hormonetriptorelintestosterone
spellingShingle A. A. Gritskevich
S. V. Mishugin
A. A. Teplov
V. L. Medvedev
I. G. Rusakov
Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
Медицинский совет
рак предстательной железы
аналоги лютеинизирующего гормона
рилизинг-гормон
трипторелин
тестостерон
prostate cancer
analogs of luteinizing hormone releasing hormone
triptorelin
testosterone
title Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
title_full Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
title_fullStr Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
title_full_unstemmed Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
title_short Effective suppression of testosterone: the best castration therapy for hormone-sensitive prostate cancer?
title_sort effective suppression of testosterone the best castration therapy for hormone sensitive prostate cancer
topic рак предстательной железы
аналоги лютеинизирующего гормона
рилизинг-гормон
трипторелин
тестостерон
prostate cancer
analogs of luteinizing hormone releasing hormone
triptorelin
testosterone
url https://www.med-sovet.pro/jour/article/view/225
work_keys_str_mv AT aagritskevich effectivesuppressionoftestosteronethebestcastrationtherapyforhormonesensitiveprostatecancer
AT svmishugin effectivesuppressionoftestosteronethebestcastrationtherapyforhormonesensitiveprostatecancer
AT aateplov effectivesuppressionoftestosteronethebestcastrationtherapyforhormonesensitiveprostatecancer
AT vlmedvedev effectivesuppressionoftestosteronethebestcastrationtherapyforhormonesensitiveprostatecancer
AT igrusakov effectivesuppressionoftestosteronethebestcastrationtherapyforhormonesensitiveprostatecancer