Pain, PSA flare, and bone scan response in a patient with metastatic castration-resistant prostate cancer treated with radium-223, a case report.

Abstract:

BACKGROUND:Radium-223 has been shown to improve overall survival in men with metastatic castration-resistant prostate cancer with symptomatic bone metastases. The bone scan response to radium-223 has only been described in one single center trial of 14 patients, none of whom achieved the outstanding bone scan response presented in the current case. CASE PRESENTATION:In this case report, we describe a 75 year-old white man with extensively pre-treated metastatic castration-resistant prostate cancer and symptomatic bone metastases who experienced a flare in pain and prostate-specific antigen, followed by dramatic clinical (pain), biochemical (prostate-specific antigen), and imaging (bone scan) response. CONCLUSION:The flare phenomena and bone scan response we observed have not previously been described with radium-223. This case suggests that the degree and duration of bone scan response may be predictive of overall survival benefit.

journal_name

BMC Cancer

journal_title

BMC cancer

authors

McNamara MA,George DJ

doi

10.1186/s12885-015-1390-y

subject

Has Abstract

pub_date

2015-05-07 00:00:00

pages

371

issn

1471-2407

pii

10.1186/s12885-015-1390-y

journal_volume

15

pub_type

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