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Role of Estramustine Phosphate and Other Estrogens for Castration-Resistant Prostate Cancer

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Hormone Therapy and Castration Resistance of Prostate Cancer

Abstract

The introduction of several expensive drugs, as abiraterone acetate and enzalutamide, and expansion of indication of these new drugs for prostate cancer patients resulted in dramatic increase in cancer treatment costs for castration-resistant prostate cancer. Estramustine phosphate and other estrogens such as ethinylestradiol are far less costly and might offer significant advantages over some of the new castration-resistant prostate cancer treatment, especially regarding bone health, cognition, and metabolic status for prostate cancer patients. Herein we discussed about mechanisms of estramustine phosphate and estrogen compounds for prostate cancer. Moreover, we reviewed several reports of efficacy of treatment with estramustine phosphate and other estrogens for castration-resistant prostate cancer. Furthermore, beneficial effects of estrogen compounds in comparison to luteinizing hormone-releasing hormone agonists during treatment for prostate cancer patients were discussed.

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Correspondence to Takahiro Inoue M.D., Ph.D. .

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Inoue, T. (2018). Role of Estramustine Phosphate and Other Estrogens for Castration-Resistant Prostate Cancer. In: Arai, Y., Ogawa, O. (eds) Hormone Therapy and Castration Resistance of Prostate Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-7013-6_26

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  • DOI: https://doi.org/10.1007/978-981-10-7013-6_26

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  • Online ISBN: 978-981-10-7013-6

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