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Original ArticleOpen Access
The Pattern of Prostate-Specific Antigen Responses Following Hormonal Therapy in Thai Men with Bone Metastatic Prostate Cancer
Leewansangtong S 
,
Soontrapa S
,
Soontrapa S SUNAI LEEWANSANGTONG, MD*,
SUCHAI SOONTRAPA,MD*
Objective : To study the pattern of prostate-specific antigen (PSA) responses and prognostic
factors following hormonal therapy in Thai men with bone metastatic prostate cancer.
Material and Method : Forty-four patients with bone metastatic prostate cancer treated by
bilateral orchiectomy were retrospectively studied for PSA responses during follow-up. The endpoint
was time to PSA biochemical failure. PSA pattern and the prognostic factors were evaluated.
Results : PSA levels regressed to PSA nadir level in all patients. Time to 50 per cent PSA
regression, time to PSA nadir level and time to biochemical failure were 2.1, 6.7 and 11.2 months,
respectively. While biochemical failure was present, all patients were alive and had stable clinical con-
ditions. Tumor grading was an important prognostic factor while age and pretreatment PSA level were
not a significant indicator. Times to biochemical failure in the patients with well, moderate and poor
differentiated tumors were 19.3, 10.0 and 9.3 months, respectively.
Conclusion : Following bilateral orchiectomy in Thai men with bone metastatic prostate
cancer, PSA level decreased continuously to the PSA nadir level in 6-7 months and stable for a period
then it increased, known as biochemical failure. The patients with a well differentiated tumor had a
significantly longer time to biochemical failure when compared to the patients with a moderate or poor
differentiated tumor.
Key word : Prostate-Specific Antigen, Prostate, Prostatic Carcinoma
SUCHAI SOONTRAPA,MD*
Objective : To study the pattern of prostate-specific antigen (PSA) responses and prognostic
factors following hormonal therapy in Thai men with bone metastatic prostate cancer.
Material and Method : Forty-four patients with bone metastatic prostate cancer treated by
bilateral orchiectomy were retrospectively studied for PSA responses during follow-up. The endpoint
was time to PSA biochemical failure. PSA pattern and the prognostic factors were evaluated.
Results : PSA levels regressed to PSA nadir level in all patients. Time to 50 per cent PSA
regression, time to PSA nadir level and time to biochemical failure were 2.1, 6.7 and 11.2 months,
respectively. While biochemical failure was present, all patients were alive and had stable clinical con-
ditions. Tumor grading was an important prognostic factor while age and pretreatment PSA level were
not a significant indicator. Times to biochemical failure in the patients with well, moderate and poor
differentiated tumors were 19.3, 10.0 and 9.3 months, respectively.
Conclusion : Following bilateral orchiectomy in Thai men with bone metastatic prostate
cancer, PSA level decreased continuously to the PSA nadir level in 6-7 months and stable for a period
then it increased, known as biochemical failure. The patients with a well differentiated tumor had a
significantly longer time to biochemical failure when compared to the patients with a moderate or poor
differentiated tumor.
Key word : Prostate-Specific Antigen, Prostate, Prostatic Carcinoma
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