Document Detail


Small cell (neuroendocrine) carcinoma of the prostate: etiology, diagnosis, prognosis, and therapeutic implications--a retrospective study of 30 patients from the rare cancer network.
MedLine Citation:
PMID:  19092321     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Within the framework of the Rare Cancer Network Study, we examined 30 patients suffering from small cell neuroendocrine prostate cancer, either in an early/localized or an advanced/metastatic stage. Patients were treated with cisplatin-based chemotherapy, with or without pelvic radiotherapy. Two patients with early disease achieved complete remission for a duration of 19 and 22 months. Three patients with advanced disease achieved complete remission for 6, 7, and 54 months, respectively. Twenty-five patients succumbed to massive local and/or distant failure. No patient presented with brain metastases as the initial site of relapse. Small cell neuroendocrine prostate carcinoma is a very aggressive disease with a poor prognosis, even in its localized form. Despite initial response, the common cisplatin-based chemotherapy plus radiotherapy failed to improve outcome markedly. Improvement will come from understanding the biology of the disease and integrating new targeted therapies into the treatment of this rare and aggressive tumor.
Authors:
Moshe E Stein; Zvi Bernstein; Ufuc Abacioglu; Meric Sengoz; Robert C Miller; Amichai Meirovitz; Abadou Zouhair; Salvador Villà Freixa; Philip H Poortmans; Robert Ash; Abraham Kuten
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  336     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-18     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  478-88     Citation Subset:  AIM; IM    
Affiliation:
Northern Israel Oncology Center, Rambam Health Care Campus, Faculty of Medicine, Haifa, Israel. m_stein@rambam.health.gov.il
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carcinoma, Small Cell / etiology*,  pathology,  physiopathology,  therapy*
Diagnosis, Differential*
Humans
Male
Middle Aged
Neoplasm Metastasis
Prognosis
Prostatic Neoplasms / etiology*,  pathology,  physiopathology,  therapy*
Retrospective Studies

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