Abstract
Since the work of Charles Huggins in the 1940s, it has been known that prostatic cancer often retains an androgen responsiveness for stimulation of its growth. Prostatic cancer is thus often highly responsive to androgen ablation therapy. Based upon this, patients with non-organ confined disease eventually require systemic androgen ablation therapy. Nearly all men with metastatic prostatic cancer treated with surgically or chemically induced castration have an initial, often dramatic, beneficial response to such androgen withdrawal therapy1. While this initial response is of substantial palliative value, essentially all treated patients eventually relapse to an androgen-insensitive state and succumb to the progression of their cancer unless they die of intercurrent disease first; cures, if any, are rare2. Because of this nearly universal relapse phenomenon, the annual death rate from prostatic cancer has not decreased at all over the subsequent 50 years since androgen withdrawal has become standard therapy3. Over the last 50 years, the superficially benign nature of androgen withdrawal therapy has tended to disguise the fact that metastatic prostatic cancer is still a fatal disease for which no therapy is available which effectively increases survival2,4.
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Furuya, Y., Berges, R.S., Lundmo, P., Isaacs, J.T. (1994). Proliferation Independent Activation of Programmed Cell Death as a Novel Therapy for Prostate Cancer. In: Mihich, E., Schimke, R.T. (eds) Apoptosis. Pezcoller Foundation Symposia, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9217-1_9
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DOI: https://doi.org/10.1007/978-1-4757-9217-1_9
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