[Prognostic factors and response predictors in castration resistant prostate cancer.]

Abstract:

:Prostate cancer is a health problem in many Countries worldwide. Understanding the essential function of androgens in the prostate physiology led to the development of hormonal blockade as a therapeutic option in advanced disease, with limited response with time and development of resistance. In this stage, where castration resistant prostate cancer (CRPC) is defined, it is associated with poor prognosis because survival varies between 18 and 24 months. Even with castration levels, tumors are dependent on the functional androgen receptor (AR). In this paper, we analyze pretreatment clinical parameters such as prognostic or progression-predictive biomarkers, castration resistance mechanisms, the development of new technologies for the use of the so called liquid biopsies from biological ayufluids and the identification of circulating tumor cells as CRPC response and progression biomarkers. Currently ongoing clinical trials are partially oriented to the search of new prognostic and predictive biomarkers, that will enable to open up precision medicine and so to improve oncological patient's quality of life with it.

journal_name

Arch Esp Urol

authors

Pascual Piédrola JI,Hevia Suárez M,Ancizu Markert FJ,García Cortés A,Doménech López P,Chiva San Román S,Velis Campillo JM,Díez-Caballero Alonso F,Robles García JE,Rosell Costa D,Villacampa Aubá F,de Fata Chillón FR,Miñana López B

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

704-710

issue

8

eissn

0004-0614

issn

1576-8260

journal_volume

71

pub_type

杂志文章,评审
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  • [Bladder metastasis of renal carcinoma].

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    abstract:OBJECTIVE:We report the case of a 33 year old female presenting with an upper pole renal mass suggestive of renal cell carcinoma which in the pathological specimen resulted to be a retained surgical gauze. METHODS/RESULTS:The case of a female patient with history of previous nephrolithotomy 5 years before who presente...

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    authors: Uribe CA,Castellanos RI,Vélez A,Flórez F,Gaviria F

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  • [Intravaginal ultrasonography in the diagnosis of stress urinary incontinence].

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    pub_type: 临床试验,杂志文章

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    authors: Granados EA,de León H,Echeverría J

    更新日期:1996-09-01 00:00:00

  • Primary testicular lymphoma with extranodal involvement.

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    doi:

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  • [Epidemiological trends in prostate cancer over the last years].

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    doi:

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    更新日期:2004-10-01 00:00:00

  • [Anatrophic nephrolithotomy: is it really an obsolete procedure?].

    abstract::Since the introduction of extracorporeal shock wave lithotripsy and the various modalities of endoscopic surgery, the number of open procedures for the treatment of urolithiasis has decreased dramatically. The use of these techniques in the management of easier cases leaves no doubt, but there is still some controvers...

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    pub_type: 杂志文章,评审

    doi:

    authors: González J

    更新日期:2011-04-01 00:00:00

  • [Adrenal pseudocysts. Therapeutic attitude].

    abstract:OBJECTIVE:Cystic tumors of the adrenal gland are uncommon, but are being increasingly more frequently diagnosed during routine radiological evaluation as "incidentalomas". We discuss the differential diagnosis, therapeutic approach and the existing controversies concerning the management of this tumor type. METHODS:Tw...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

    doi:

    authors: Martín Fernández J,Delgado Portela M,Ladrón Gil C,Casanueva Luis T,Ramia Angel JM,Cubo Cintas T,Hernández Calvo J

    更新日期:1998-10-01 00:00:00

  • [The treatment of hydrocele as ambulatory surgery].

    abstract:OBJECTIVES:To evaluate the results of this surgical treatment of hydrocele over the first four years of integration of the Urology Department in the Major Ambulatory Surgery Unit in our Hospital. METHODS:From January 2000 to July 2004 we have performed 167 hydrocelectomies as ambulatory surgery in 152 patients (15 cas...

    journal_title:Archivos espanoles de urologia

    pub_type: 杂志文章

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    更新日期:2005-06-01 00:00:00

  • [Staghorn calculi. Combined treatment with percutaneous nephrolithotripsy and extracorporeal lithotripsy].

    abstract::We present our experience in 61 patients with partial or complete staghorn stone who underwent combined treatment with PCN and ESWL. We excluded the cases with an additional factor complicating staghorn stone, such as horseshoe kidney, severe ectopic, mal-rotated or high, with pyeloureteral junction stricture, etc. Th...

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    doi:

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    更新日期:1993-10-01 00:00:00

  • [Ureteral actinomycosis. Case report].

    abstract:OBJECTIVES:To report one case of pseudotumoral lesion of the iliac ureter with obstructive uropathy leading to loss of function of the renal unit. METHODS:66-year-old male being studied for BPH who presents with a self-limited monosymptomatic hematuria. RESULTS:Renal ultrasound detected grade II pyelocaliectasis of t...

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  • [One-step reconstruction of penile urethral strictures. Indications and techniques].

    abstract::Penile urethra stenoses generally appear as a sequel after acute (sexually transmitted diseases) or chronic urethritis processes, associated with diseases such as lichen sclerosus or as a consequence of traumatism, iatrogeny and forced distention of the urethral lumen. One third of these lesions may be congenital and ...

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    更新日期:2014-01-01 00:00:00

  • [Keratotic pseudoepitheliomatous and micaceous balanitis].

    abstract:OBJECTIVE:To describe the clinical and histopathological manifestations of a case of pseudoepitheliomatous, keratotic and micaceous balanitis and review the literature on this rare condition. METHODS:A case of pseudoepitheliomatous, keratotic and micaceous balanitis in a 63-year-old man is presented. The lesion appear...

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    更新日期:1998-10-01 00:00:00

  • [The dissolution of cystine lithiasis with n-acetylcysteine].

    abstract:OBJECTIVE:The results of in situ dissolution of a cystine calculus is described. This approach was attempted in a female patient for whom surgery was not considered to be the best therapeutic option. METHODS:An obstructive cystine calculus was treated by in situ litholysis using N-acetylcysteine applied locally via tw...

    journal_title:Archivos espanoles de urologia

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  • [New treatments for germ cell tumors with poor prognosis].

    abstract:OBJECTIVE:To discuss briefly the new therapeutic strategies for poor-prognosis testicular germ cell cancer. METHODS:The use of new drugs in first line chemotherapy, intensive alternating and sequential chemotherapy and high dose chemotherapy with autologous bone marrow or stem cell transplantation are briefly discusse...

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  • [Stage T4 bladder cancer. Impact of neoadjuvant chemotherapy on T4b tumors].

    abstract::The present article studied the biological behaviour of T4a versus T4b tumors. Of 29 patients with T4a tumors, 24 were treated by radical cystectomy and 5 were treated by diversion alone on detecting pathologic gross adenopathies at laparotomy. Of these 10/28 (35.7%) are alive and tumor-free. Of 11 patients with T4b t...

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  • [Bilateral isolated infiltration in the epididymis and sperm cord as first sign of chronic lymphatic leukemia].

    abstract:OBJECTIVE:Involvement of extralymphatic tissue in chronic lymphocytic leukemia (CLL) is uncommon and that of the epididymis and spermatic cord is rare. This paper describes an unusual case with metastasis to both epididymis and the spermatic cord as the first sign of reactivation of CLL. METHODS/RESULTS:A patient with...

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  • [Percutaneous nephrostomy associated with extracorporeal shockwave lithotripsy in the treatment of renoureteral lithiasis].

    abstract::From a series of 5000 cases that had undergone extracorporeal shock wave lithotripsy at the Hospital Clinico Quirúrgico "Hermanos Ameijeiras" from March, 1986 to April, 1988, 220 cases that required percutaneous nephrostomy due to obstructive hydronephrosis from stone fragments were studied. We analyzed the clinical, ...

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  • Role and current situation of TURP in patients with elevated PSA.

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  • [Primary retroperitoneal tumors].

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    doi:

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  • [Renal carcinoma metastatic to the peritoneum. Case report].

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  • [Laparoscopic radical cystectomy with vaginal specimen extraction. Case report].

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  • [When should we perform a bone scintigraphy in patients with new diagnosis of asymptomatic prostate cancer in order to detect bone metastasis?].

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  • [Incomplete sagittal septum of the bladder].

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