期刊
UROLOGIC CLINICS OF NORTH AMERICA
卷 33, 期 2, 页码 161-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ucl.2005.12.001
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The use of combined androgen blockade therapy in prostate cancer management remains controversial. This article reviews the effect of the different non-steroid androgens in blocking androgen-independent activation of the androgen receptor in the androgen-depleted environment, and the potential benefit of bicalutamide in comparison to the first generation of anti-androgens (flutamide and nilutamide). An estimate of the benefit of combined therapy with bicalutamide suggests there is a high probability that bicalutamide 50 mg as combined therapy provides a survival advantage over castration alone. This treatment must be balanced against the potential for an increase in side-effects and a consequent adverse effect on the patient's quality of life.
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