Zusammenfassung
Das Prostatakarzinom (PCa) ist mittlerweile der häufigste Tumor des Mannes und die zweithäufigste tumorbedingte Todesursache. Die überwiegende Mehrheit der Patienten ist mit einer Hormonentzugstherapie behandelt worden, die jedoch nach einem gewissen Zeitraum ihre therapeutische Effektivität verliert. Trotz der Häufigkeit dieser Erkrankung gibt es nach Tumorprogression unter Androgenablation keine etablierte Standardtherapie. Patienten mit einem ossär metastasierten Prostatakarzinom weisen im Mittel nach 12 bis 18 Monaten eine Progression in ein hormonrefraktäres Stadium (HRPC) auf. Indiesem Stadium beträgt die mittlere Überlebenszeit 12 Monate [18]. In den letzten Jahren hat sich aufgrund von Studienergebnissen das Verständnis des Pathomechanismus der Hormonunabhängigkeit grundlegend verändert.
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Literatur
Abell FL, Wilkes JD, Divers L (1995) Oral cyclophosphamide (CTX) for hormone refractory prostate cancer. Proc Amer Soc Clin Oncol 14: 646
Benson R, Hartley-Asp B (1990) Mechanism of action and clinical uses of estramustine. Cancer Invest 8: 375
Dawson NA (1993) Treatment of progressive metastatic prostate cancer. Oncology 7:17
di Sant’ Agnese PA (1992) Neutoendocrine differentiation in carcinoma of the prostate. Diagnostic, prognostic and therapeutic implications. Cancer 70: 254
Ferro MA, Gillatt D, Symes MO et al. (1989) High-dose intravenous estrogen therapy in advanced prostatic carcinoma. Use of serum prostate specific antigen to monitor response. Urology 34: 134
Fowler JE, Whitmore WF jr. (1981) The response of metastatic adenocarcinoma of the prostate to exogenous testosterone. J Urol 126: 372
Fowler JE, Pandey P, Seaver LE et al. (1995) Prostate specific antigen after gonadal withdrawal and deferred flutamide treatment. J Urol 154: 448
Horton J, Rosenbaum C, Cummings FJ (1988) Tamoxifen in advanced prostate cancer: an ECOG pilot study. Prostate 12: 173
Hudes G (1997) Estramustine-based chemotherapy. Semin Urol Oncol 15: 13
Hudes G, Einhorn L, Ross E et al. (1999) Vinblastine versus vinblastine plus oral estramustine phosphate for patients with hormone-refractory prostate cancer: A Hoosier Oncology Group and Fox Chase Network phase III trial. J Clin Oncol 17: 3160
Joyce R, Fenton MA, Rode P et al. (1998) High-dose bicalutamidefor androgen independent prostate cancer: effect of prior hormonal therapy. J Urol 159: 149
Kantoff PW, Halabi S, Conaway M, Picus J et al. (1996) in Hydrocortisone with and without mitoxantrone in men with hormone-refractory prostate cancer: results of the cancer and leukemia group B9182 study. 17: 2506
Kelly WK (1998) Endocrine withdrawal syndrome and ist relevance to the management of hormone refractoty prostate cancer. Eur Urol 34 (Suppl 4): 18
Kelly WK, Scher HI (1993) Flutamide withdrawal syndrome: its impact on clinical trials in hormone-refractory prostate cancer. J Urol 149; 607
Kelly WK, Scher HI, Mazumadar M et al. (1993) Prostate-specific antigen as a measure of disease outcome in metastatic hormone-refractory prostate cancer. J Clin Oncol 11: 607
Klugo RC, Farah RN, Cerny JC (1981) Bilateral orchiectomy for carcinoma of the prostate: response of serum testosterone and clinical response to estrogen therapy. Urology 17: 49
Kreis W (1995) Current chemotherapy and future directions in research for the treatment of advanced hormone-refractory prostate cancer. Cancer Invest 13: 296
Mahler C, Denis L (1995) Hormone refractory disease. Semin Surg Oncol 11:77
Maulard-Dardux C, Dufour B, Hennequin C et al. (1997) Phase II study of the oral cyclophosphamide and oral etoposide combination in hormone-refractory prostate carcinoma patients. Cancer 77: 1144
Oh WK, Kantoff PW (1998) Management of hormone refractory prostate cancer: current status and future prospects. J Urol 160: 1220
Orlando M, Chacon M, Salum G et al. (2000) Low-dose oral fosfestrol is highly active in hormon-refractory prostate cancer. Ann Oncol 11: 177
Petrylak DP (1999) Chemotherapy for advanced hormone refractory prostate cancer. Urology 54 (Suppl 6a): 31
Pienta KJ, Redman B, Hussein M et al. (1994) Phase II evaluation of oral estramustine and oral etoposide in hormone-refractory adenocarcinoma of the prostate. J Clin Oncol 12: 2005
Raghavan D, Cox K, Pearson BS et al. (1993) Oral cyclophosphamide for the management of hormone-refractory prostate cancer. Br J Urol 72: 625
Rochlitz CF, Damon LE, Russi MB et al. (1988) Cytotoxicity of ketokonazole in malignant cell lines. Cancer Chemother Pharmacol 21: 319
Sartor O, Cooper M, Weinberger M et al. (1994) Surprising activity of flutamide withdrawal, when combined with aminoglutethimide, in treatment of “hormone-refracrtory” prostate cancer. J Natl Cancer Inst 86: 222
Schellhammer P, Venner P, Haas G et al. (1997) Prostate specific antigen decreases after withdrawal of androgen therapy with bicalutamide or flutamide in patients receivin combined androgen blockade. J Urol 157:1731
Scher HI, Liebertz C, Kelly WK et al. (1997) Bicalutamide for advanced prostate cancer: the natural versus treated history of disease. J Clin Oncol 15: 2928
Small EJ, Baron AD, Fippin L et al. (1997) Ketokonazole retains activity in advanced prostate cancer patients with progression despite flutamide withdrawal. J Urol 159: 1204
Smith DC, Dunn RL, Srawderman MS et al.(1998) Change in serum prostate-.specific antigen as a marker of response to cytotoxic therapy for hormone-refractory prostate cancer. J Clin Oncol 16: 1835
Tannock IF, Osoba D, Stockier MR et al. (1996) Chemotherapy with mitoxantrone plus prednisone or prednisone alone for symptomatic hormone-resistant prostate cancer: a canadian randomized trial with palliative end points. J Clin Oncol 14: 1756
Taplin ME, Bubley GJ, Shuster TD et al. (1995) Mutation of the androgen-receptor gene in metastatic prostate cancer. N Engl J Med 332: 1393
Wilding G (1995) Endocrine control of prostate cancer. Canvcer Sury 23: 43
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Machtens, S. (2002). Therapieoptionen beim hormonrefraktären Prostatakarzinom. In: Truss, M.C., Stief, C.G., Machtens, S., Jonas, U., Wagner, T. (eds) Pharmakotherapie in der Urologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09273-6_4
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DOI: https://doi.org/10.1007/978-3-662-09273-6_4
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