Can palliative radiotherapy influence prostate-specific antigen response in patients with castrate-resistant prostate cancer treated with systemic therapy (chemotherapy or abiraterone)?-a report of three cases

被引:3
作者
Hingorani, Mohan [1 ]
Dixit, Sanjay [1 ]
Pugazhenthi, Pattu [1 ]
Hawkyard, Simon [2 ]
Robertson, Andrew [2 ]
Khafagy, Richard [2 ]
机构
[1] NHS Trust, Castle Hill Hosp, Dept Clin Oncol, Cottingham HU16 5JQ, East Riding Yor, England
[2] Scarborough Dist Gen Hosp, Dept Urol, Scarborough M1P 2V5, ON, Canada
关键词
Chemotherapy; Palliative; Prostate cancer; Radiotherapy;
D O I
10.7497/j.issn.2095-3941.2014.0025
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Palliative radiotherapy (pRT) is primarily employed for palliation of bone pain in patients with castrate-resistant prostate cancer (CRPC). However, evidence that pRT influences prostate-specific antigen response in patients with CRPC on systemic therapy is lacking. We describe three cases of CRPC progressing after treatment with docetaxel (n=2) and abiraterone (n=1), who responded unusually after pRT for bone pain with the development of a significant biochemical response and restoration of response to systemic therapy. The possibility of pRT influencing metastatic disease in CRPC has not been previously reported, and raises the possibility of radiation-induced modulation of anti-tumor immune response mechanisms that may play a role in the restoration of response to systemic treatment.
引用
收藏
页码:60 / 63
页数:4
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