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Prostate Cancer

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STRATFORD, Connecticut--Several studies have shown the ability of the percent-free PSA blood test to help differentiate benign prostatic hyperplasia (BPH) from prostate cancer among men with elevated PSA levels and thus reduce the need for prostate biopsy. Now, two studies in the September issue of Urology have further defined the situations in which percent-free PSA may be used to improve the performance of total PSA level results.

PRINCETON, NJ--Cytogen Corporation is sponsoring a new website on prostate cancer that highlights its diagnostic imaging agent ProstaScint. The agent is used in newly diagnosed patients at high risk for metastases and in postprostatectomy patients with a high suspicion of recurrence or spread.

WILMINGTON, Delaware--Zeneca Pharmaceuticals has received FDA approval to market Zoladex (goserelin acetate implant) for use in combination with the antiandrogen flutamide (Eulexin) prior to and during radiation therapy for the management of early-stage prostate cancer (stages B2-C).

TORONTO--Preliminary data on patients with rising prostate-specific antigen (PSA) levels after radical prosta-tectomy suggest that ProstaScint scin-tigraphy may offer a way to identify patients most likely to benefit from radiation therapy. ProstaScint (capromab pendetide) is an indium-111-labeled murine monoclonal antibody diagnostic agent that attaches to the prostate-specific membrane antigen.

LOS ANGELES--Early use of combination chemotherapy may have a role in the treatment of poor-prognosis, androgen-dependent prostate cancer, as well as androgen-independent patients, preliminary results from an ongoing study suggest. Evidence of anticancer activity has been seen in several patients treated with the combination of paclitaxel (Taxol), estramustine (Emcyt), and carboplatin (Paraplatin), William Kelly, DO, reported at the ASCO meeting.

ANN ARBOR, Michigan--The typical candidate for radical prostatectomy does at least as well with three-dimensional (3D) conformal radiation therapy for early-stage prostate cancer, results of a University of Michigan study suggest. Findings in 172 consecutively treated patients showed a 95% actuarial survival 8 years after radiation therapy and an 85% rate of freedom from biochemical failure.

LOS ANGELES--Combined therapy with suramin and hydrocortisone significantly improved palliation over placebo plus hydrocortisone in hormone-refractory prostate cancer. The palliative improvement emerged within 6 weeks, and the difference between the regimens increased to the end of therapy, Eric Small, MD, reported at the ASCO integrated symposium on prostate cancer.

LOS ANGELES--Preliminary results with a gene-therapy approach to recurrent prostate cancer suggest antitumor activity in at least some patients. Three of 18 patients have had decreases in PSA levels of more than 50%. The effects have persisted for 45 to 290 days, including one patient who became biopsy negative for a brief period of time.

QUEBEC CITY--For the first time, a randomized clinical trial of screening with prostate-specific antigen (PSA) has been performed and shown to reduce the risk of prostate cancer mortality.

NEW ORLEANS-A technique for rallying a prostate cancer patient’s antitumor response helps some patients without harming quality of life, Michael L. Salgaller, PhD, head of the immunothera-peutics division at Northwest Biother-apeutics, Seattle, reported at the 89th annual meeting of the American Association for Cancer Research (AACR).

ASCO--A Canadian study is the first to show that prostate cancer screening, using a PSA of 3.0 ng/mL as the upper limit of normal, could significantly decrease deaths from the disease. Fernand Labrie, MD, in his presentation at the ASCO plenary session, said that 27,000 lives a year could be saved in the United States alone if PSA testing were performed on all men age 50 and older.

NEW ORLEANS--High concentrations of insulin-like growth factor I (IGF-I) in the circulation identify the men most at risk of prostate cancer as well as the women at highest risk of premenopausal breast cancer, according to results presented at the 89th annual meeting of the American Association for Cancer Research (AACR).

BOSTON--Transrectal ultrasound is not a reliable method for detecting residual or recurrent tumor in prostate cancer patients after cryosurgical ablation, due to the altered appearance of the gland on ultrasound after freezing, Caryl Salomon, MD, said at the 42nd Annual American Institute of Ultrasound in Medicine (AIUM) conference.

BUFFALO, NY--Autoimmune prostatitis has been suggested as a new method for treating prostate cancer, and prostate-specific proteins are currently being sought to serve as targets for an autoimmune attack that could offer therapeutic benefits in prostate cancer.

The latest analysis of a large prevention trial conducted by the National Cancer Institute (NCI) and the National Public Health Institute of Finland showed that long-term use of a moderate-dose vitamin E supplement substantially reduced prostate cancer incidence and deaths in male smokers. The report was published in the March 18, 1998, issue of the Journal of the National Cancer Institute, and the lead author is Olli P. Heinonen, md, dsc, of the Department of Public Health, University of Helsinki, Finland.

HELSINKI, Finland--Supplemental vitamin E significantly decreased both the incidence and mortality of prostate cancer in a large randomized trial of male smokers in Finland, said Olli P. Heinonen, MD, DSc, and his colleagues from the University of Helsinki, the National Cancer Institute, and Montefiore Medical Center, New York.