Treatment for Stage IV Prostate cancer

Last Modified: December 14, 2003

Share article


Question

Dear OncoLink "Ask The Experts,"
I have been diagnosed with stage 4 prostate cancer. Is it better to start total androgen ablation right away or first just leuitinizing hormone? 

Answer

David J Vaughn, MD, Medical Director of the Abramson Family Cancer Research Institute and Associate Professor of Medicine, Hematology-Oncology at the Abramson Cancer Center of the University of Pennsylvania, responds:

In general, most believe that total androgen blockade such as luteinizing hormone-releasing hormone (LHRH) agonist plus anti-androgren therapy or orchiectomy plus anti-androgen therapy is not significantly superior to LHRH agonist monotherapy or orchiectomy monotherapy. A recent meta-analysis suggests about a 2-3% improvement in survival for total androgen blockade. One needs to balance this against the cost and toxicity of the anti-androgen, which are not negligible. The only caveat is that prior to initiating LHRH agonist therapy a period of anti-androgen blockade prevents a flare in symptoms.



I Wish You Knew

The Public Face of Prostate Cancer

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More