Hormonal therapy in metastatic prostate cancer: current perspectives and controversies

Ever since the introduction of androgen deprivation therapy (ADT) in prostate cancer, various controversial aspects of hormonal therapy have come to light. There has been tremendous progress in this area, marked by several important developments in the availability of various new androgen-suppressin...

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Main Authors: Manish Garg, Vishwajeet Singh, Manoj Kumar, Satya Narayan Sankhwar
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-09-01
Series:Oncology Reviews
Subjects:
Online Access:http://www.oncologyreviews.org/index.php/or/article/view/226
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author Manish Garg
Vishwajeet Singh
Manoj Kumar
Satya Narayan Sankhwar
author_facet Manish Garg
Vishwajeet Singh
Manoj Kumar
Satya Narayan Sankhwar
author_sort Manish Garg
collection DOAJ
description Ever since the introduction of androgen deprivation therapy (ADT) in prostate cancer, various controversial aspects of hormonal therapy have come to light. There has been tremendous progress in this area, marked by several important developments in the availability of various new androgen-suppressing agents and refinements to the existing therapies. Parallel to these developments, various more debatable aspects have arisen in the use of these therapies with regards to their negative impact on quality of life parameters. Various modifications in these hormonal agents, their doses, and protocols have been tried in different scenarios in order to improve ADT tolerability. As a result, these controversies continue to evolve even with optimal use of the androgen ablation therapy. This review assesses the present status of hormonal therapy in metastatic prostate cancer and specifically deals with those aspects of androgen ablation therapy that are still a subject of debate. In spite of the fact that various trials have been conducted, some of which are still ongoing, the multitude of questions related to the best possible use of these hormonal agents have still not been answered. Treatment guidelines concerning these issues are continuing to evolve as progress continues to be made in this field.
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spelling doaj.art-ffcd2db7b9034bb58be9afae3984a6f52023-01-03T10:55:36ZengFrontiers Media S.A.Oncology Reviews1970-55571970-55652013-09-017110.4081/oncol.2013.e6184Hormonal therapy in metastatic prostate cancer: current perspectives and controversiesManish Garg0Vishwajeet Singh1Manoj Kumar2Satya Narayan Sankhwar3Department of Urology, King George Medical University, LucknowDepartment of Urology, King George Medical University, LucknowDepartment of Urology, King George Medical University, LucknowDepartment of Urology, King George Medical University, LucknowEver since the introduction of androgen deprivation therapy (ADT) in prostate cancer, various controversial aspects of hormonal therapy have come to light. There has been tremendous progress in this area, marked by several important developments in the availability of various new androgen-suppressing agents and refinements to the existing therapies. Parallel to these developments, various more debatable aspects have arisen in the use of these therapies with regards to their negative impact on quality of life parameters. Various modifications in these hormonal agents, their doses, and protocols have been tried in different scenarios in order to improve ADT tolerability. As a result, these controversies continue to evolve even with optimal use of the androgen ablation therapy. This review assesses the present status of hormonal therapy in metastatic prostate cancer and specifically deals with those aspects of androgen ablation therapy that are still a subject of debate. In spite of the fact that various trials have been conducted, some of which are still ongoing, the multitude of questions related to the best possible use of these hormonal agents have still not been answered. Treatment guidelines concerning these issues are continuing to evolve as progress continues to be made in this field.http://www.oncologyreviews.org/index.php/or/article/view/226prostate cancerandrogen ablation therapyintermittent hormonal therapycombined androgen blockageantiandrogens.
spellingShingle Manish Garg
Vishwajeet Singh
Manoj Kumar
Satya Narayan Sankhwar
Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
Oncology Reviews
prostate cancer
androgen ablation therapy
intermittent hormonal therapy
combined androgen blockage
antiandrogens.
title Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
title_full Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
title_fullStr Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
title_full_unstemmed Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
title_short Hormonal therapy in metastatic prostate cancer: current perspectives and controversies
title_sort hormonal therapy in metastatic prostate cancer current perspectives and controversies
topic prostate cancer
androgen ablation therapy
intermittent hormonal therapy
combined androgen blockage
antiandrogens.
url http://www.oncologyreviews.org/index.php/or/article/view/226
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AT vishwajeetsingh hormonaltherapyinmetastaticprostatecancercurrentperspectivesandcontroversies
AT manojkumar hormonaltherapyinmetastaticprostatecancercurrentperspectivesandcontroversies
AT satyanarayansankhwar hormonaltherapyinmetastaticprostatecancercurrentperspectivesandcontroversies