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Abstract

Prostate cancer (PCa) is the second most common cancer worldwide in males. The incidence increases with age and positive family history. Most cancers are adenocarcinomas (>95 %), multifocal and originated in the peripheral zone of the prostate. Localized PCa is typically asymptomatic and is discovered through a rise in serum PSA or, less commonly, a suspicious digital rectum examination. Hesitance, urgency, poor urine stream, nocturia and incomplete bladder emptying are the most frequently reported symptoms. Their presence suggests advanced disease. On the other hand, bone pain raises the suspicion of metastatic disease. Transrectal ultrasound guided biopsy is the standard method of diagnosis. Treatment strategy is driven by tumor staging and can include a wide variety of approaches such as active surveillance, surgery, radiotherapy and/or medical therapy. Recently, there was a development of multiple new active treatment modalities, particularly in the setting of advanced disease.

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References

  1. Josef Marx F, Karenberg A (2009) History of the term prostate. Prostate 69(2):208–213

    Article  PubMed  Google Scholar 

  2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61(2):69–90

    Article  PubMed  Google Scholar 

  3. Bray F, Jemal A, Grey N, Ferlay J, Forman D (2012) Global cancer transitions according to the human developmentiIndex (2008–2030): a population-based study. Lancet Oncol 13(8):790–801

    Article  PubMed  Google Scholar 

  4. Baade PD, Youlden DR, Cramb SM, Dunn J, Gardiner RA (2013) Epidemiology of prostate cancer in the Asia-Pacific region. Prostate Int 1(2):47–58

    Article  PubMed Central  PubMed  Google Scholar 

  5. Jacobsen SJ, Katusic SK, Bergstralh EJ et al (1995) Incidence of prostate cancer diagnosis in the eras before and after serum prostate-specific antigen testing. JAMA 274(18):1445–1449

    Article  PubMed  CAS  Google Scholar 

  6. Konety BR, Bird VY, Deorah S, Dahmoush L (2005) Comparison of the incidence of latent prostate cancer detected at autopsy before and after the prostate specific antigen era. J Urol 174(5):1785–1788

    Article  PubMed  Google Scholar 

  7. American Cancer Society (2003) Cancer facts & figures 2003. American Cancer Society, Atlanta

    Google Scholar 

  8. American Cancer Society (2011) Cancer facts & figures 2011. American Cancer Society, Atlanta

    Google Scholar 

  9. Hoffman RM, Gilliland FD, Eley JW, Harlan LC, Stephenson RA, Stanford JL, Albertson PC, Hamilton AS, Hunt WC, Potosky AL (2001) Racial and ethnic differences in advanced-stage prostate cancer: the prostate cancer outcomes study. J Natl Cancer Inst 93(5):388–395

    Article  PubMed  CAS  Google Scholar 

  10. Center MM, Jemal A, Lortet-Tieulent J, Ward E, Ferlay J, Brawley O, Bray F (2012) International variation in prostate cancer incidence and mortality rates. Eur Urol 61(6):1079–1092

    Article  PubMed  Google Scholar 

  11. Kiciński M, Vangronsveld J, Nawrot TS (2011) An epidemiological reappraisal of the familial aggregation of prostate cancer: a meta-analysis. PLoS One 6(10):e27130

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  12. Castro E, Goh C, Olmos D, Saunders E, Leongamornlert D, Tymrakiewicz M, Mahmud N, Dadaev T, Govindasami K, Guy M et al (2013) Germline BRCA mutations are associated with higher risk of nodal involvement, distant metastasis, and poor survival outcomes in prostate cancer. J Clin Oncol 31(14):1748–1757

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  13. Ryan S, Jenkins MA, Win AK (2014) Risk of prostate cancer in Lynch syndrome: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev 23:437–449

    Article  PubMed  CAS  Google Scholar 

  14. Masko EM, Allott EH, Freedland SJ (2013) The relationship between nutrition and prostate cancer: is more always better? Eur Urol 63(5):810–820

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  15. Allott EH, Masko EM, Freedland SJ (2013) Obesity and prostate cancer: weighing the evidence. Eur Urol 63(5):800–809

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  16. Leitzmann MF, Platz EA, Stampfer MJ, Willett WC, Giovannucci E (2004) Ejaculation frequency and subsequent risk of prostate cancer. JAMA 291(13):1578–1586

    Article  PubMed  CAS  Google Scholar 

  17. Dennis LK, Dawson DV (2002) Meta-analysis of measures of sexual activity and prostate cancer. Epidemiology 13(1):72–79

    Article  PubMed  Google Scholar 

  18. DeMarzo AM, Nelson WG, Isaacs WB, Epstein JI (2003) Pathological and molecular aspects of prostate cancer. Lancet 361(9361):955–964

    Article  PubMed  CAS  Google Scholar 

  19. Mazaris E, Tsiotras A (2013) Molecular pathways in prostate cancer. Nephrourol Mon 5(3):792–800

    Article  PubMed Central  PubMed  Google Scholar 

  20. Benedettini E, Nguyen P, Loda M (2008) The pathogenesis of prostate cancer: from molecular to metabolic alterations. Diagn Histopathol 14(5):195–201

    Article  Google Scholar 

  21. Dickinson SI (2010) Premalignant and malignant prostate lesions: pathologic review. Cancer Control: J Moffitt Cancer Cent 17(4):214–222

    Google Scholar 

  22. Speakman MJ, Kirby RS, Joyce A, Abrams P, Pocock R (2004) Guideline for the primary care management of male lower urinary tract symptoms. BJU Int 93(7):985–990

    Article  PubMed  CAS  Google Scholar 

  23. Frydenberg M, Stricker PD, Kaye KW (1997) Prostate cancer diagnosis and management. Lancet 349(9066):1681–1687

    Article  PubMed  CAS  Google Scholar 

  24. Stenman U-H, Leinonen J, Zhang W-M, Finne P (1999) Prostate-specific antigen. Semin Cancer Biol 9(2):83–93

    Article  PubMed  CAS  Google Scholar 

  25. Heidenreich A, Bastian PJ, Bellmunt J, Bolla M, Joniau S, van der Kwast T, Mason M, Matveev V, Wiegel T, Zattoni F et al (2014) EAU guidelines on prostate cancer. Part 1: screening, diagnosis, and local treatment with curative intent—update 2013. Eur Urol 65(1):124–137

    Article  PubMed  Google Scholar 

  26. Zappa M, Puliti D, Hugosson J, Schröder FH, van Leeuwen PJ, Kranse R, Auvinen A, Carlsson S, Kwiatkowski M, Nelen V et al A different method of evaluation of the ERSPC trial confirms that prostate-specific antigen testing has a significant impact on prostate cancer mortality (2014) Eur Urol 66(3):401–403

    Google Scholar 

  27. Loeb S, Bjurlin MA, Nicholson J, Tammela TL, Penson DF, Carter HB, Carroll P, Etzioni R Overdiagnosis and overtreatment of prostate cancer (2014) Eur Urol 65(6):1046–1055

    Google Scholar 

  28. Lee R, Localio AR, Armstrong K, Malkowicz SB, Schwartz JS, Free PSASG (2006) A meta-analysis of the performance characteristics of the free prostate-specific antigen test. Urology 67(4):762–768

    Article  PubMed  Google Scholar 

  29. Catalona WJ, Richie JP, de Kernion JB, Ahmann FR, Ratliff TL, Dalkin BL, Kavoussi LR, MacFarlane MT, Southwick PC (1994) Comparison of prostate specific antigen concentration versus prostate specific antigen density in the early detection of prostate cancer: receiver operating characteristic curves. J Urol 152(6 Pt 1):2031–2036

    PubMed  CAS  Google Scholar 

  30. Vickers AJ, Savage C, O’Brien MF, Lilja H (2009) Systematic review of pretreatment prostate-specific antigen velocity and doubling time as predictors for prostate cancer. J Clin Oncol 27(3):398–403

    Article  PubMed Central  PubMed  Google Scholar 

  31. Carter HB, Pearsxon JD, Metter EJ, Brant LJ, Chan DW, Andres R, Fozard JL, Walsh PC (1992) Longitudinal evaluation of prostate-specific antigen levels in men with and without prostate disease. JAMA 267(16):2215–2220

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  32. Nguyen K, Sabata B, Jain AK (2012) Prostate cancer grading: gland segmentation and structural features. Pattern Recogn Lett 33(7):951–961

    Article  Google Scholar 

  33. Epstein JI (2010) An update of the Gleason grading system. J Urol 183(2):433–440

    Article  PubMed  Google Scholar 

  34. Shipley WU, Sacardino PT, Kaufman DS, Kattan MW (2006) Treatment of early stage prostate cancer. In: Vogelzang N (ed) Comprehensive textbook of genitourinary oncology, 3rd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  35. Rodrigues G, Warde P, Pickles T, Crook J, Brundage M, Souhami L, Lukka H (2012) Pre-treatment risk stratification of prostate cancer patients: a critical review. Can Urol Assoc J = Journal de l'Association des urologues du Canada 6(2):121–127

    Article  PubMed  Google Scholar 

  36. Mohler JL et al (2014) NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Prostate Cancer. Version 1.2015. Available online at: http://www.nccn.org/professionals/physician_gls/pdf/prostate.pdf

  37. Parker C, Fillessen S, Heidenreich A, Horwich A (2015) Cancer of the prostate: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 26(5):v69–v77

    Article  PubMed  Google Scholar 

  38. Madan RA, Shah AA, Dahut WL (2013) Is it time to reevaluate definitive therapy in prostate cancer? J Natl Cancer Inst 105(10):683–685

    Article  PubMed Central  PubMed  Google Scholar 

  39. Nepple KG, Stephenson AJ, Kallogjeri D, Michalski J, Grubb RL 3rd, Strope SA, Haslag-Minoff J, Piccirillo JF, Ciezki JP, Klein EA et al (2013) Mortality after prostate cancer treatment with radical prostatectomy, external-beam radiation therapy, or brachytherapy in men without comorbidity. Eur Urol 64(3):372–378

    Article  PubMed Central  PubMed  Google Scholar 

  40. Zumsteg ZS, Zelefsky MJ (2013) Improved survival with surgery in prostate cancer patients without medical comorbidity: a self-fulfilling prophecy? Eur Urol 64(3):381–383

    Article  PubMed  Google Scholar 

  41. Loblaw A, Zhang L, Lam A, Nam R, Mamedov A, Vesprini D, Klotz L (2010) Comparing prostate specific antigen triggers for intervention in men with stable prostate cancer on active surveillance. J Urol 184(5):1942–1946

    Article  PubMed  Google Scholar 

  42. Ross AE, Loeb S, Landis P, Partin AW, Epstein JI, Kettermann A, Feng Z, Carter HB, Walsh PC (2010) Prostate-specific antigen kinetics during follow-up are an unreliable trigger for intervention in a prostate cancer surveillance program. J Clin Oncol 28(17):2810–2816

    Article  PubMed  CAS  Google Scholar 

  43. Trinh QD, Bjartell A, Freedland SJ, Hollenbeck BK, Hu JC, Shariat SF, Sun M, Vickers AJ (2013) A systematic review of the volume-outcome relationship for radical prostatectomy. Eur Urol 64(5):786–798

    Article  PubMed Central  PubMed  Google Scholar 

  44. Trinh QD, Sammon J, Sun M, Ravi P, Ghani KR, Bianchi M, Jeong W, Shariat SF, Hansen J, Schmitges J et al (2012) Perioperative outcomes of robot-assisted radical prostatectomy compared with open radical prostatectomy: results from the nationwide inpatient sample. Eur Urol 61(4):679–685

    Article  PubMed  Google Scholar 

  45. Cathcart P, Murphy DG, Moon D, Costello AJ, Frydenberg M (2011) Perioperative, functional and oncological outcomes after open and minimally invasive prostate cancer surgery: experience from Australasia. BJU Int 107(Suppl 3):11–19

    Article  PubMed  Google Scholar 

  46. Montorsi F, Wilson TG, Rosen RC, Ahlering TE, Artibani W, Carroll PR, Costello A, Eastham JA, Ficarra V, Guazzoni G et al (2012) Best practices in robot-assisted radical prostatectomy: recommendations of the Pasadena Consensus Panel. Eur Urol 62(3):368–381

    Article  PubMed  Google Scholar 

  47. Cagiannos I, Karakiewicz P, Eastham JA, Ohori M, Rabbani F, Gerigk C, Reuter V, Graefen M, Hammerer PG, Erbersdobler A et al (2003) A preoperative nomogram identifying decreased risk of positive pelvic lymph nodes in patients with prostate cancer. J Urol 170(5):1798–1803

    Article  PubMed  Google Scholar 

  48. Ischia J, Gleave M (2013) Radical prostatectomy in high-risk prostate cancer. Int J Urol 20(3):290–300

    Article  PubMed  Google Scholar 

  49. Kumar S, Shelley M, Harrison C, Coles B, Wilt TJ, Mason MD (2006) Neo-adjuvant and adjuvant hormone therapy for localised and locally advanced prostate cancer. Cochrane Database Syst Rev (4):Cd006019

    Google Scholar 

  50. Morris DE, Emami B, Mauch PM, Konski AA, Tao ML, Ng AK, Klein EA, Mohideen N, Hurwitz MD, Fraas BA et al (2005) Evidence-based review of three-dimensional conformal radiotherapy for localized prostate cancer: an ASTRO outcomes initiative. Int J Radiat Oncol Biol Phys 62(1):3–19

    Article  PubMed  Google Scholar 

  51. Kuban DA, Tucker SL, Dong L, Starkschall G, Huang EH, Cheung MR, Lee AK, Pollack A (2008) Long-term results of the M. D. Anderson randomized dose-escalation trial for prostate cancer. Int J Radiat Oncol Biol Phys 70(1):67–74

    Article  PubMed  Google Scholar 

  52. Wang L, Hoban P, Paskalev K, Yang J, Li J, Chen L, Xiong W, Ma CC (2005) Dosimetric advantage and clinical implication of a micro-multileaf collimator in the treatment of prostate with intensity-modulated radiotherapy. Med Dosimetry 30(2):97–103

    Article  Google Scholar 

  53. Michalski JM, Yan Y, Watkins-Bruner D, Bosch WR, Winter K, Galvin JM, Bahary JP, Morton GC, Parliament MB, Sandler HM (2013) Preliminary toxicity analysis of 3-dimensional conformal radiation therapy versus intensity modulated radiation therapy on the high-dose arm of the Radiation Therapy Oncology Group 0126 prostate cancer trial. Int J Radiat Oncol Biol Phys 87(5):932–938

    Article  PubMed  Google Scholar 

  54. Zelefsky MJ, Levin EJ, Hunt M, Yamada Y, Shippy AM, Jackson A, Amols HI (2008) Incidence of late rectal and urinary toxicities after three-dimensional conformal radiotherapy and intensity-modulated radiotherapy for localized prostate cancer. Int J Radiat Oncol Biol Phys 70(4):1124–1129

    Article  PubMed  Google Scholar 

  55. Xu N, Rossi PJ, Jani AB (2011) Toxicity analysis of dose escalation from 75.6 gy to 81.0 gy in prostate cancer. Am J Clin Oncol 34(1):11–15

    Article  PubMed  CAS  Google Scholar 

  56. Dasu A (2007) Is the alpha/beta value for prostate tumours low enough to be safely used in clinical trials? Clin Oncol R Coll Radiol Great Brit 19(5):289–301

    Article  CAS  Google Scholar 

  57. Botrel TE, Clark O, Pompeo AC, Bretas FF, Sadi MV, Ferreira U, Dos Reis RB (2013) Hypofractionated external-beam radiation therapy (HEBRT) versus conventional external-beam radiation (CEBRT) in patients with localized prostate cancer: a systematic review and meta-analysis. Core Evid 8:1–13

    Article  PubMed Central  PubMed  Google Scholar 

  58. Roach M 3rd, DeSilvio M, Lawton C, Uhl V, Machtay M, Seider MJ, Rotman M, Jones C, Asbell SO, Valicenti RK et al (2003) Phase III trial comparing whole-pelvic versus prostate-only radiotherapy and neoadjuvant versus adjuvant combined androgen suppression: Radiation Therapy Oncology Group 9413. J Clin Oncol 21(10):1904–1911

    Article  PubMed  Google Scholar 

  59. Roach M 3rd, Marquez C, Yuo HS, Narayan P, Coleman L, Nseyo UO, Navvab Z, Carroll PR (1994) Predicting the risk of lymph node involvement using the pre-treatment prostate specific antigen and Gleason score in men with clinically localized prostate cancer. Int J Radiat Oncol Biol Phys 28(1):33–37

    Article  PubMed  Google Scholar 

  60. Lawton CA, DeSilvio M, Roach M 3rd, Uhl V, Kirsch R, Seider M, Rotman M, Jones C, Asbell S, Valicenti R et al (2007) An update of the phase III trial comparing whole pelvic to prostate only radiotherapy and neoadjuvant to adjuvant total androgen suppression: updated analysis of RTOG 94-13, with emphasis on unexpected hormone/radiation interactions. Int J Radiat Oncol Biol Phys 69(3):646–655

    Article  PubMed Central  PubMed  Google Scholar 

  61. Lawton CA, Michalski J, El-Naqa I, Buyyounouski MK, Lee WR, Menard C, O’Meara E, Rosenthal SA, Ritter M, Seider M (2009) RTOG GU radiation oncology specialists reach consensus on pelvic lymph node volumes for high-risk prostate cancer. Int J Radiat Oncol Biol Phys 74(2):383–387

    Article  PubMed Central  PubMed  Google Scholar 

  62. Polkinghorn WR, Zelefsky MJ (2013) Improving outcomes in high-risk prostate cancer with radiotherapy. Rep Pract Oncol Radiother 18(6):333–337

    Article  PubMed Central  PubMed  Google Scholar 

  63. Zietman AL, Prince EA, Nakfoor BM, Park JJ (1997) Androgen deprivation and radiation therapy: sequencing studies using the Shionogi in vivo tumor system. Int J Radiat Oncol Biol Phys 38(5):1067–1070

    Article  PubMed  CAS  Google Scholar 

  64. Sanguineti G, Marcenaro M, Franzone P, Foppiano F, Vitale V (2003) Neoadjuvant androgen deprivation and prostate gland shrinkage during conformal radiotherapy. Radiother Oncol 66(2):151–157

    Article  PubMed  CAS  Google Scholar 

  65. Bria E, Cuppone F, Giannarelli D, Milella M, Ruggeri EM, Sperduti I, Pinnaro P, Terzoli E, Cognetti F, Carlini P (2009) Does hormone treatment added to radiotherapy improve outcome in locally advanced prostate cancer?: meta-analysis of randomized trials. Cancer 115(15):3446–3456

    Article  PubMed  Google Scholar 

  66. Nguyen PL, Je Y, Schutz FA, Hoffman KE, Hu JC, Parekh A, Beckman JA, Choueiri TK (2011) Association of androgen deprivation therapy with cardiovascular death in patients with prostate cancer: a meta-analysis of randomized trials. JAMA 306(21):2359–2366

    Article  PubMed  CAS  Google Scholar 

  67. Bolla M, Van Tienhoven G, Warde P, Dubois JB, Mirimanoff RO, Storme G, Bernier J, Kuten A, Sternberg C, Billiet I et al (2010) External irradiation with or without long-term androgen suppression for prostate cancer with high metastatic risk: 10-year results of an EORTC randomised study. Lancet Oncol 11(11):1066–1073

    Article  PubMed  CAS  Google Scholar 

  68. Pilepich MV, Winter K, Lawton CA, Krisch RE, Wolkov HB, Movsas B, Hug EB, Asbell SO, Grignon D (2005) Androgen suppression adjuvant to definitive radiotherapy in prostate carcinoma – long-term results of phase III RTOG 85-31. Int J Radiat Oncol Biol Phys 61(5):1285–1290

    Article  PubMed  CAS  Google Scholar 

  69. Roach M 3rd, Bae K, Speight J, Wolkov HB, Rubin P, Lee RJ, Lawton C, Valicenti R, Grignon D, Pilepich MV (2008) Short-term neoadjuvant androgen deprivation therapy and external-beam radiotherapy for locally advanced prostate cancer: long-term results of RTOG 8610. J Clin Oncol 26(4):585–591

    Article  PubMed  Google Scholar 

  70. Denham JW, Steigler A, Lamb DS, Joseph D, Turner S, Matthews J, Atkinson C, North J, Christie D, Spry NA et al (2011) Short-term neoadjuvant androgen deprivation and radiotherapy for locally advanced prostate cancer: 10-year data from the TROG 96.01 randomised trial. Lancet Oncol 12(5):451–459

    Article  PubMed  CAS  Google Scholar 

  71. Cosset JM, Hannoun-Levi JM, Peiffert D, Delannes M, Pommier P, Pierrat N, Nickers P, Thomas L, Chauveinc L (2013) Permanent implant prostate cancer brachytherapy: 2013 state-of-the art. Cancer Radiother 17(2):111–117

    Article  PubMed  Google Scholar 

  72. Ghadjar P, Keller T, Rentsch CA, Isaak B, Behrensmeier F, Stroux A, Thalmann GN, Aebersold DM (2009) Toxicity and early treatment outcomes in low- and intermediate-risk prostate cancer managed by high-dose-rate brachytherapy as a monotherapy. Brachytherapy 8(1):45–51

    Article  PubMed  Google Scholar 

  73. Corner C, Rojas AM, Bryant L, Ostler P, Hoskin P (2008) A phase II study of high-dose-rate afterloading brachytherapy as monotherapy for the treatment of localized prostate cancer. Int J Radiat Oncol Biol Phys 72(2):441–446

    Article  PubMed  Google Scholar 

  74. Rodrigues G, Yao X, Loblaw DA, Brundage M, Chin JL (2013) Low-dose rate brachytherapy for patients with low- or intermediate-risk prostate cancer: a systematic review. Can Urol Assoc J 7(11–12):463–470

    PubMed Central  PubMed  Google Scholar 

  75. Ghilezan M (2012) Role of high dose rate brachytherapy in the treatment of prostate cancer. Cancer Radiother 16(5–6):418–422

    Article  PubMed  CAS  Google Scholar 

  76. Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L, Lin X, Greenfield TK, Litwin MS, Saigal CS et al (2008) Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med 358(12):1250–1261

    Article  PubMed  CAS  Google Scholar 

  77. Freedland SJ, Humphreys EB, Mangold LA, Eisenberger M, Dorey FJ, Walsh PC, Partin AW (2005) Risk of prostate cancer-specific mortality following biochemical recurrence after radical prostatectomy. JAMA 294(4):433–439

    Article  PubMed  CAS  Google Scholar 

  78. Swanson GP, Lerner SP (2013) Positive margins after radical prostatectomy: implications for failure and role of adjuvant treatment. Urol Oncol 31(5):531–541

    Article  PubMed  Google Scholar 

  79. Thompson IM Jr, Tangen CM, Paradelo J, Lucia MS, Miller G, Troyer D, Messing E, Forman J, Chin J, Swanson G et al (2006) Adjuvant radiotherapy for pathologically advanced prostate cancer: a randomized clinical trial. JAMA 296(19):2329–2335

    Article  PubMed  CAS  Google Scholar 

  80. Van der Kwast TH, Bolla M, Van Poppel H, Van Cangh P, Vekemans K, Da Pozzo L, Bosset JF, Kurth KH, Schroder FH, Collette L (2007) Identification of patients with prostate cancer who benefit from immediate postoperative radiotherapy: EORTC 22911. J Clin Oncol 25(27):4178–4186

    Article  PubMed  Google Scholar 

  81. Wiegel T, Bottke D, Steiner U, Siegmann A, Golz R, Storkel S, Willich N, Semjonow A, Souchon R, Stockle M et al (2009) Phase III postoperative adjuvant radiotherapy after radical prostatectomy compared with radical prostatectomy alone in pT3 prostate cancer with postoperative undetectable prostate-specific antigen: ARO 96-02/AUO AP 09/95. J Clin Oncol 27(18):2924–2930

    Article  PubMed  Google Scholar 

  82. Stephenson AJ, Scardino PT, Kattan MW, Pisansky TM, Slawin KM, Klein EA, Anscher MS, Michalski JM, Sandler HM, Lin DW et al (2007) Predicting the outcome of salvage radiation therapy for recurrent prostate cancer after radical prostatectomy. J Clin Oncol 25(15):2035–2041

    Article  PubMed Central  PubMed  Google Scholar 

  83. Allen GW, Howard AR, Jarrard DF, Ritter MA (2007) Management of prostate cancer recurrences after radiation therapy-brachytherapy as a salvage option. Cancer 110(7):1405–1416

    Article  PubMed  Google Scholar 

  84. Nguyen PL, D’Amico AV, Lee AK, Suh WW (2007) Patient selection, cancer control, and complications after salvage local therapy for postradiation prostate-specific antigen failure: a systematic review of the literature. Cancer 110(7):1417–1428

    Article  PubMed  Google Scholar 

  85. Chade DC, Eastham J, Graefen M, Hu JC, Karnes RJ, Klotz L, Montorsi F, van Poppel H, Scardino PT, Shariat SF (2012) Cancer control and functional outcomes of salvage radical prostatectomy for radiation-recurrent prostate cancer: a systematic review of the literature. Eur Urol 61(5):961–971

    Article  PubMed  Google Scholar 

  86. Bubendorf L, Schopfer A, Wagner U, Sauter G, Moch H, Willi N, Gasser TC, Mihatsch MJ (2000) Metastatic patterns of prostate cancer: an autopsy study of 1,589 patients. Hum Pathol 31(5):578–583

    Article  PubMed  CAS  Google Scholar 

  87. Loblaw DA, Mendelson DS, Talcott JA, Virgo KS, Somerfield MR, Ben-Josef E, Middleton R, Porterfield H, Sharp SA, Smith TJ et al (2004) American Society of Clinical Oncology recommendations for the initial hormonal management of androgen-sensitive metastatic, recurrent, or progressive prostate cancer. J Clin Oncol 22(14):2927–2941

    Article  PubMed  Google Scholar 

  88. Byar DP (1973) Proceedings: the Veterans Administration Cooperative Urological Research Group’s studies of cancer of the prostate. Cancer 32(5):1126–1130

    Article  PubMed  CAS  Google Scholar 

  89. Oefelein MG, Feng A, Scolieri MJ, Ricchiutti D, Resnick MI (2000) Reassessment of the definition of castrate levels of testosterone: implications for clinical decision making. Urology 56(6):1021–1024

    Article  PubMed  CAS  Google Scholar 

  90. Seidenfeld J, Samson DJ, Hasselblad V, Aronson N, Albertsen PC, Bennett CL, Wilt TJ (2000) Single-therapy androgen suppression in men with advanced prostate cancer: a systematic review and meta-analysis. Ann Intern Med 132(7):566–577

    Article  PubMed  CAS  Google Scholar 

  91. Prostate Cancer Trialists’ Collaborative Group (2000) Maximum androgen blockade in advanced prostate cancer: an overview of the randomised trials. Prostate Cancer Trialists’ Collaborative Group. Lancet 355(9214):1491–1498

    Google Scholar 

  92. Schmitt B, Wilt TJ, Schellhammer PF, DeMasi V, Sartor O, Crawford ED, Bennett CL (2001) Combined androgen blockade with nonsteroidal antiandrogens for advanced prostate cancer: a systematic review. Urology 57(4):727–732

    Article  PubMed  CAS  Google Scholar 

  93. Shahinian VB, Kuo YF, Freeman JL, Goodwin JS (2005) Risk of fracture after androgen deprivation for prostate cancer. N Engl J Med 352(2):154–164

    Article  PubMed  CAS  Google Scholar 

  94. Smith MR, Lee H, Nathan DM (2006) Insulin sensitivity during combined androgen blockade for prostate cancer. J Clin Endocrinol Metab 91(4):1305–1308

    Article  PubMed  CAS  Google Scholar 

  95. Braga-Basaria M, Muller DC, Carducci MA, Dobs AS, Basaria S (2006) Lipoprotein profile in men with prostate cancer undergoing androgen deprivation therapy. Int J Impot Res 18(5):494–498

    Article  PubMed  CAS  Google Scholar 

  96. Hussain M, Tangen CM, Berry DL, Higano CS, Crawford ED, Liu G, Wilding G, Prescott S, Kanaga Sundaram S, Small EJ et al (2013) Intermittent versus continuous androgen deprivation in prostate cancer. N Engl J Med 368(14):1314–1325

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  97. James ND, Sydes MR, Mason MD, et al (2015) Docetaxel and/or zoledronic acid for hormone-naïve prostate cancer: first overall survival results from STAMPEDE (NCT00268476). J Clin Oncol 33:(suppl; abstr 5001)

    Google Scholar 

  98. Sweeney CJ, Chen YH, Carducci M, Liu G et al (2015) Chemohormonal therapy in metastatic hormone-sensitive prostate cancer. N Engl J Med 373(8):737–746

    Google Scholar 

  99. Gravis G, Fizazi K, Joly F, et al (2013) Androgen-deprivation therapy alone or with docetaxel in non-castrate meta-static prostate cancer (GETUG-AFU 15): a randomized, open-label, phase 3 trial

    Google Scholar 

  100. Choueiri TK, Xie W, D’Amico AV, Ross RW, Hu JC, Pomerantz M, Regan MM, Taplin ME, Kantoff PW, Sartor O et al (2009) Time to prostate-specific antigen nadir independently predicts overall survival in patients who have metastatic hormone-sensitive prostate cancer treated with androgen-deprivation therapy. Cancer 115(5):981–987

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  101. Hussain M, Tangen CM, Higano C, Schelhammer PF, Faulkner J, Crawford ED, Wilding G, Akdas A, Small EJ, Donnelly B et al (2006) Absolute prostate-specific antigen value after androgen deprivation is a strong independent predictor of survival in new metastatic prostate cancer: data from Southwest Oncology Group Trial 9346 (INT-0162). J Clin Oncol 24(24):3984–3990

    Article  PubMed  Google Scholar 

  102. Yuan X, Balk SP (2009) Mechanisms mediating androgen receptor reactivation after castration. Urol Oncol 27(1):36–41

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  103. Zhang TY, Agarwal N, Sonpavde G, DiLorenzo G, Bellmunt J, Vogelzang NJ (2013) Management of castrate resistant prostate cancer—recent advances and optimal sequence of treatments. Curr Urol Rep 14(3):174–183

    Article  PubMed  Google Scholar 

  104. Lam JS, Leppert JT, Vemulapalli SN, Shvarts O, Belldegrun AS (2006) Secondary hormonal therapy for advanced prostate cancer. J Urol 175(1):27–34

    Article  PubMed  CAS  Google Scholar 

  105. Landstrom M, Damber JE, Bergh A (1994) Estrogen treatment postpones the castration-induced dedifferentiation of Dunning R3327-PAP prostatic adenocarcinoma. Prostate 25(1):10–18

    Article  PubMed  CAS  Google Scholar 

  106. Pont A, Williams PL, Azhar S, Reitz RE, Bochra C, Smith ER, Stevens DA (1982) Ketoconazole blocks testosterone synthesis. Arch Intern Med 142(12):2137–2140

    Article  PubMed  CAS  Google Scholar 

  107. FDA Drug Safety Communication: FDA limits usage of Nizoral (ketoconazole) oral tablets due to potentially fatal liver injury and risk of drug interactions and adrenal gland problems [http://www.fda.gov/Drugs/DrugSafety/ucm362415.htm]

  108. Ketoconazole-containing medicines [http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/referrals/Ketoconazole-containing_medicines/human_referral_000348.jsp&mid=WC0b01ac05805c516f]

  109. Potter GA, Barrie SE, Jarman M, Rowlands MG (1995) Novel steroidal inhibitors of human cytochrome P45017 alpha (17 alpha-hydroxylase-C17,20-lyase): potential agents for the treatment of prostatic cancer. J Med Chem 38(13):2463–2471

    Article  PubMed  CAS  Google Scholar 

  110. Attard G, Belldegrun AS, de Bono JS (2005) Selective blockade of androgenic steroid synthesis by novel lyase inhibitors as a therapeutic strategy for treating metastatic prostate cancer. BJU Int 96(9):1241–1246

    Article  PubMed  Google Scholar 

  111. de Bono JS, Logothetis CJ, Molina A, Fizazi K, North S, Chu L, Chi KN, Jones RJ, Goodman OB Jr, Saad F et al (2011) Abiraterone and increased survival in metastatic prostate cancer. N Engl J Med 364(21):1995–2005

    Article  PubMed Central  PubMed  Google Scholar 

  112. Ryan CJ, Smith MR, de Bono JS, Molina A, Logothetis CJ, de Souza P, Fizazi K, Mainwaring P, Piulats JM, Ng S et al (2013) Abiraterone in metastatic prostate cancer without previous chemotherapy. N Engl J Med 368(2):138–148

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  113. DE Rathkopf, R Smith, Bono J (2013) Updated interim analysis (IA) of COU-AA-302, a randomized phase III study of abiraterone acetate (AA) in patients (pts) with metastatic castration-resistant prostate cancer (mCRPC) without prior chemotherapy [abstract 5]. J Clin Oncol 31(Suppl 6)

    Google Scholar 

  114. Tran C, Ouk S, Clegg NJ, Chen Y, Watson PA, Arora V, Wongvipat J, Smith-Jones PM, Yoo D, Kwon A et al (2009) Development of a second-generation antiandrogen for treatment of advanced prostate cancer. Science (New York, NY) 324(5928):787–790

    Article  CAS  Google Scholar 

  115. Scher H, Fizazi K, Saad F (2012) Effect of MDV3100, an androgen receptor signaling inhibitor (ARSI), on overall survival in patients with prostate cancer postdocetaxel: results from the phase III AFFIRM study. In: 2012 Genitourinary Cancers Symposium: J Clin Oncol 30(suppl 5; abstr LBA1)

    Google Scholar 

  116. Beer TM, Armstrong AJ, Sternberg CN, Higano CS, Iversen P, Loriot Y, Rathkopf DE, Bhattacharya S, Carles J, Bono JSD et al (2014) Enzalutamide in men with chemotherapy-naive metastatic prostate cancer (mCRPC): results of phase III PREVAIL study. J Clin Oncol 32(suppl 4; abstr LBA1^)

    Google Scholar 

  117. Loriot Y, Bianchini D, Ileana E, Sandhu S, Patrikidou A, Pezaro C, Albiges L, Attard G, Fizazi K, De Bono JS et al (2013) Antitumour activity of abiraterone acetate against metastatic castration-resistant prostate cancer progressing after docetaxel and enzalutamide (MDV3100). Ann Oncol 24(7):1807–1812

    Article  PubMed  CAS  Google Scholar 

  118. Bianchini D, Lorente D, Rodriguez-Vida A, Omlin A, Pezaro C, Ferraldeschi R, Zivi A, Attard G, Chowdhury S, de Bono JS (2014) Antitumour activity of enzalutamide (MDV3100) in patients with metastatic castration-resistant prostate cancer (CRPC) pre-treated with docetaxel and abiraterone. Eur J Cancer (Oxf Engl 1990) 50(1):78–84

    Article  CAS  Google Scholar 

  119. Efstathiou E, Titus M, Tsavachidou D, Hoang A, Karlou M, Wen S (2011) MDV3100 effects on androgen receptor (AR) signaling and bone marrow testosterone concentration modulation: a preliminary report. In: 2011 ASCO Meeting. J Clin Oncol (Meeting Abstracts) 29:4501

    Google Scholar 

  120. Eleni Efstathiou, Mark Anton Titus, Sijin Wen, et al (2014) Enzalutamide (ENZA) in combination with abiraterone acetate (AA) in bone metastatic castration resistant prostate cancer (mCRPC). J Clin Oncol 32:5s (suppl; abstr 5000)

    Google Scholar 

  121. Tannock IF, Osoba D, Stockler MR, Ernst DS, Neville AJ, Moore MJ, Armitage GR, Wilson JJ, Venner PM, Coppin CM 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(6):1756–1764

    PubMed  CAS  Google Scholar 

  122. Kantoff PW, Halabi S, Conaway M, Picus J, Kirshner J, Hars V, Trump D, Winer EP, Vogelzang NJ (1999) Hydrocortisone with or without mitoxantrone in men with hormone-refractory prostate cancer: results of the cancer and leukemia group B 9182 study. J Clin Oncol 17(8):2506–2513

    PubMed  CAS  Google Scholar 

  123. Berry W, Dakhil S, Modiano M, Gregurich M, Asmar L (2002) Phase III study of mitoxantrone plus low dose prednisone versus low dose prednisone alone in patients with asymptomatic hormone refractory prostate cancer. J Urol 168(6):2439–2443

    Article  PubMed  CAS  Google Scholar 

  124. Tannock IF, de Wit R, Berry WR, Horti J, Pluzanska A, Chi KN, Oudard S, Theodore C, James ND, Turesson I et al (2004) Docetaxel plus prednisone or mitoxantrone plus prednisone for advanced prostate cancer. N Engl J Med 351(15):1502–1512

    Article  PubMed  CAS  Google Scholar 

  125. Berthold DR, Pond GR, Soban F, de Wit R, Eisenberger M, Tannock IF (2008) Docetaxel plus prednisone or mitoxantrone plus prednisone for advanced prostate cancer: updated survival in the TAX 327 study. J Clin Oncol 26(2):242–245

    Article  PubMed  CAS  Google Scholar 

  126. Kellokumpu-Lehtinen PL, Harmenberg U, Joensuu T, McDermott R, Hervonen P, Ginman C, Luukkaa M, Nyandoto P, Hemminki A, Nilsson S et al (2013) 2-Weekly versus 3-weekly docetaxel to treat castration-resistant advanced prostate cancer: a randomised, phase 3 trial. Lancet Oncol 14(2):117–124

    Article  PubMed  CAS  Google Scholar 

  127. Heidenreich A, Bastian PJ, Bellmunt J, Bolla M, Joniau S, van der Kwast T, Mason M, Matveev V, Wiegel T, Zattoni F et al (2014) EAU guidelines on prostate cancer. Part II: treatment of advanced, relapsing, and castration-resistant prostate cancer. Eur Urol 65(2):467–479

    Article  PubMed  CAS  Google Scholar 

  128. de Bono JS, Oudard S, Ozguroglu M, Hansen S, Machiels J-P, Kocak I, Gravis G, Bodrogi I, Mackenzie MJ, Shen L et al (2010) Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial. Lancet 376(9747):1147–1154

    Article  PubMed  CAS  Google Scholar 

  129. Kantoff PW, Higano CS, Shore ND, Berger ER, Small EJ, Penson DF, Redfern CH, Ferrari AC, Dreicer R, Sims RB et al (2010) Sipuleucel-T immunotherapy for castration-resistant prostate cancer. N Engl J Med 363(5):411–422

    Article  PubMed  CAS  Google Scholar 

  130. Scher HI, Morris MJ, Basch E, Heller G (2011) End points and outcomes in castration-resistant prostate cancer: from clinical trials to clinical practice. J Clin Oncol 29(27):3695–3704

    Article  PubMed Central  PubMed  Google Scholar 

  131. Papandreou CN, Daliani DD, Thall PF, Tu SM, Wang X, Reyes A, Troncoso P, Logothetis CJ (2002) Results of a phase II study with doxorubicin, etoposide, and cisplatin in patients with fully characterized small-cell carcinoma of the prostate. J Clin Oncol 20(14):3072–3080

    Article  PubMed  CAS  Google Scholar 

  132. Flechon A, Pouessel D, Ferlay C, Perol D, Beuzeboc P, Gravis G, Joly F, Oudard S, Deplanque G, Zanetta S et al (2011) Phase II study of carboplatin and etoposide in patients with anaplastic progressive metastatic castration-resistant prostate cancer (mCRPC) with or without neuroendocrine differentiation: results of the French Genito-Urinary Tumor Group (GETUG) P01 trial. Ann Oncol 22(11):2476–2481

    Article  PubMed  CAS  Google Scholar 

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Ferreira, A.R., Abrunhosa-Branquinho, A., Vendrell, I., Quintela, A., Pina, F., Ribeiro, L. (2015). Prostate Cancer. In: de Mello, R., Tavares, Á., Mountzios, G. (eds) International Manual of Oncology Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-21683-6_22

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