Radiotherapy Plus GnRH Analogue Versus High Dose Bicalutamide: A Case Control Study.

Abstract:

BACKGROUND/AIM:Radiotherapy (RT) with adjuvant hormone therapy (HT) improves prognosis in prostate cancer (PC) patients. Gonadotrophin-releasing hormone agonist (GnRHa) with luteinizing hormone-releasing hormone (LH-RH) analogues is the standard HT. High-dose antiandrogen therapy also improves survival in patients with locally advanced PC. The aim of this study was to compare the results of patients treated with RT plus GnRHa and patients treated with RT plus bicalutamide. PATIENTS AND METHODS:Our institutional PC database was used to identify patients treated with definitive or postoperative RT +/- HT which were included in this study. RESULTS:Three hundred and eighteen patients were retrospectively reviewed (median follow-up=56 months). Five-year biochemical relapse-free survival was 85.5% and 88.3% in patients treated with GnRHa and bicalutamide, respectively (p=0.712). CONCLUSION:Bicalutamide may be offered as an adjuvant treatment to RT in patients who refuse GnRHa because of related side effects. Furthermore, our study justifies randomized trials comparing RT plus GnRHa and RT plus bicalutamide.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Buwenge M,Deodato F,Macchia G,Siepe G,Zhao X,Valicenti RK,Cilla S,Alitto AR,Ntreta M,Bisello S,Mantini G,Valentini V,Morganti AG,Cammelli S

doi

10.21873/anticanres.13850

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

6373-6378

issue

11

eissn

0250-7005

issn

1791-7530

pii

39/11/6373

journal_volume

39

pub_type

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