© 2002 by Oxford University Press
Journal of the National Cancer Institute, Vol. 94, No. 19, 1422-1432,
October 2, 2002
© 2002 Oxford University Press
EDITORIAL |
Should Bisphosphonates Be Used Routinely in Patients With Prostate Cancer Metastatic to Bone?
Affiliation of authors: C. M. Canil, I. F. Tannock, Department of Medical Oncology and Hematology, Princess Margaret Hospital and University of Toronto, Toronto, Ontario, Canada.
Correspondence to: Ian F. Tannock, M.D., Ph.D., Department of Medical Oncology and Hematology, Princess Margaret Hospital and University of Toronto, 610 University Ave., Toronto, Ontario M5G 2M9, Canada (e-mail: ian.tannock@uhn.on.ca).
| The first 10% of the full text of this article appears below. |
Prostate cancer is a disease that is characterized by a high incidence of metastases to bone, which cause substantial morbidity, including pain, fractures, and spinal cord compression. The primary modality of treatment for patients with metastatic prostate cancer is hormonal therapy, which is designed to reduce the stimulatory effects of androgens on prostate cancer cells. However, long-term use of androgen blockade has been shown to result in osteoporosis, which further contributes to bone fragility (1). Hormonal therapy to suppress serum testosterone levels is usually continued in patients with prostate cancer, even those with hormone-resistant prostate cancers. Treatment of patients with hormone-resistant prostate cancer has focused on palliation of symptoms and quality of life. Management of bone pain includes treatments with narcotic and anti-inflammatory medications, external beam radiation, bone-seeking radioactive
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