Molecular markers and their prognostic impact in patients with advanced prostate cancer undergoing intermittent androgen suppression

Autor: G. Lunglmayr, Karl Pummer, H Augustin, L. Bayer, F. Tschurlovich, W. Kuber, C. Freibauer
Rok vydání: 2006
Předmět:
Zdroj: Prostate Cancer and Prostatic Diseases. 9:279-283
ISSN: 1476-5608
1365-7852
DOI: 10.1038/sj.pcan.4500883
Popis: Objective: Tumour features were evaluated during intermittent androgen suppression (IAS), and their prognostic impact on the first off-treatment time was analysed. Patients and methods: Twenty patients with advanced prostate cancer underwent three consecutive prostate biopsies during the first cycle, namely at the beginning of androgen deprivation, 8 months after continuous therapy and at the time of prostate-specific antigen (PSA) progression above 20 ng/ml. Biopsy specimens were immunohistochemically processed and analysed for the apoptotic index (AI), Ki-67, p53 and Bcl-2 to investigate eventual changes over time. Correlations and regression analysis were performed to assess the prognostic significance of clinical and pathological parameters in predicting the first off-treatment time. Results: In contrast to the AI, p53 and Bcl-2, Ki-67 was the only marker that significantly changed over time (P=0.008). The first off-treatment time correlated significantly with pretreatment PSA (r=−0.594; P
Databáze: OpenAIRE