Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents

Introduction Disseminated carcinomatosis of the bone marrow in prostate cancer is rare and has a poor prognosis. Although strong evidence suggests that novel hormonal agents improve the prognosis of metastatic prostate cancer, their effectiveness in cases of disseminated carcinomatosis of the bone m...

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Main Authors: Keina Nozaki, Hisashi Matsushima, Hiyo Obikane, Ryohei Nishimoto, Ryo Tanaka, Takeru Morishige, Tomoko Masuda, Haruki Kume
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12611
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author Keina Nozaki
Hisashi Matsushima
Hiyo Obikane
Ryohei Nishimoto
Ryo Tanaka
Takeru Morishige
Tomoko Masuda
Haruki Kume
author_facet Keina Nozaki
Hisashi Matsushima
Hiyo Obikane
Ryohei Nishimoto
Ryo Tanaka
Takeru Morishige
Tomoko Masuda
Haruki Kume
author_sort Keina Nozaki
collection DOAJ
description Introduction Disseminated carcinomatosis of the bone marrow in prostate cancer is rare and has a poor prognosis. Although strong evidence suggests that novel hormonal agents improve the prognosis of metastatic prostate cancer, their effectiveness in cases of disseminated carcinomatosis of the bone marrow remains unclear. Case presentation We encountered two cases of prostate cancer with disseminated carcinomatosis of the bone marrow at the time of initial diagnosis. One patient was treated with enzalutamide, abiraterone, docetaxel, cabazitaxel, denosumab, and radium‐223 and died 38 months after the initial diagnosis. The other patient was treated with apalutamide and denosumab, and had progression‐free survival for 17 months after the initial diagnosis. Conclusion These results suggest that novel hormonal agents may improve the prognosis of prostate cancer even in patients with disseminated carcinomatosis of the bone marrow.
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spelling doaj.art-7ca780e084694444b0e26f409f5c59562023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016632933310.1002/iju5.12611Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agentsKeina Nozaki0Hisashi Matsushima1Hiyo Obikane2Ryohei Nishimoto3Ryo Tanaka4Takeru Morishige5Tomoko Masuda6Haruki Kume7Department of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Diagnostic Pathology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology Tokyo Metropolitan Police Hospital Tokyo JapanDepartment of Urology The University of Tokyo Graduate School of Medicine Tokyo JapanIntroduction Disseminated carcinomatosis of the bone marrow in prostate cancer is rare and has a poor prognosis. Although strong evidence suggests that novel hormonal agents improve the prognosis of metastatic prostate cancer, their effectiveness in cases of disseminated carcinomatosis of the bone marrow remains unclear. Case presentation We encountered two cases of prostate cancer with disseminated carcinomatosis of the bone marrow at the time of initial diagnosis. One patient was treated with enzalutamide, abiraterone, docetaxel, cabazitaxel, denosumab, and radium‐223 and died 38 months after the initial diagnosis. The other patient was treated with apalutamide and denosumab, and had progression‐free survival for 17 months after the initial diagnosis. Conclusion These results suggest that novel hormonal agents may improve the prognosis of prostate cancer even in patients with disseminated carcinomatosis of the bone marrow.https://doi.org/10.1002/iju5.12611androgen receptor‐axis targeted agentsbone marrow involvementbone marrow metastasisnew hormonal agentsradium‐223
spellingShingle Keina Nozaki
Hisashi Matsushima
Hiyo Obikane
Ryohei Nishimoto
Ryo Tanaka
Takeru Morishige
Tomoko Masuda
Haruki Kume
Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
IJU Case Reports
androgen receptor‐axis targeted agents
bone marrow involvement
bone marrow metastasis
new hormonal agents
radium‐223
title Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
title_full Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
title_fullStr Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
title_full_unstemmed Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
title_short Two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
title_sort two cases of prostate cancer with disseminated carcinomatosis of the bone marrow treated with novel hormonal agents
topic androgen receptor‐axis targeted agents
bone marrow involvement
bone marrow metastasis
new hormonal agents
radium‐223
url https://doi.org/10.1002/iju5.12611
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