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Effective testosterone suppression for prostate cancer: is there a best castration therapy?
Gomella, Leonard G.
Afiliação
  • Gomella LG; Department of Urology, Kimmel Cancer Center, Thomas Jefferson University Philadelphia, PA.
Rev Urol ; 11(2): 52-60, 2009.
Article em En | MEDLINE | ID: mdl-19680526
Achieving and maintaining effective suppression of serum testosterone levels in men treated with androgen ablation is one of the essential strategies in the management of prostate cancer. Historically, a serum testosterone below 50 ng/dL was considered to be the castrate level. Current data suggest that the new target for either surgical or chemical castration is a serum testosterone level of lower than 20 ng/dL in an attempt to maximize therapeutic outcomes. Testosterone breakthrough and the acute-on-chronic effects of administration of a luteinizing hormone-releasing hormone analogue may cause testosterone levels to periodically rise, sometimes to noncastrate levels. The goal of androgen ablation is to identify those agents that will most consistently achieve and maintain the lowest testosterone levels possible.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Rev Urol Ano de publicação: 2009 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: Rev Urol Ano de publicação: 2009 Tipo de documento: Article País de publicação: Estados Unidos